DIRECTOR - CASE MANAGEMENT (RN OR LCSW) Westminster, MD CARROLL HOSPITAL CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm Management & Supervisory 87898 $52.11-$87.39 Experience based Posted:TodayApply NowSave JobSaved SummaryJOB SUMMARY: The Director of Case Management oversees the inpatient Care Management team at Carroll Hospital. Plans, directs, and evaluates the activities of the Case Management team. Develops length of stay (LOS) and resource reduction strategies, focusing on facility best practice. Provides specific LOS analysis and makes recommendations for process improvement. Ensures compliance with regulatory agencies and ensures third party payers reimbursement/coverage is approved to meet patients' level of care.Directs, plans, implements and evaluates case management of patient care across the continuum of care. Collaborates with other directors in the LBH system to establish and standardize goals and objectives for the department. Develops and implements policies and procedures supporting quality patient-driven care through efficient and effective case management.ESSENTIAL FUNCTIONS:Analyzes and evaluates effectiveness of patient care standards, policies and procedures to improve quality of patient care and plans utilization of staff resources and activities aimed at continued quality care.Guides, mentors, motivates and engages the staff in assessing, planning, implementing programs and evaluating patient care as evidenced by patient satisfaction and positive clinical outcomes.Screens and investigates incidents and patient complaints; determines follow-up needed and initiates corrective action.Ensures compliance with all regulatory agency requirements.Ensures availability of necessary tools and resources for the efficient management and coordination of patient care.Collaborates with physician leadership to develop strategies, formulate plans and implement interventions based on patient needs and clinical resources.Collaborates with the Medical Nursing Leadership to evaluate outcomes, assess problem areas, analyze current trends and plan strategies to meet patient care needs and improve the delivery of care.Collaborates with Patient Access Services Leadership to ensure accurate data and coordination of patient flow.Uses resources in an appropriate and cost-efficient manner.Develops the department budget.Identifies, generates and implements cost containment initiatives.Selects, develops, manages and evaluates direct reports; and oversees the selection, development, management and evaluation of indirect reports.Promotes staff development and education. Provides opportunity for formal and informal education to promote ongoing staff competency. Sets standards for performance and ensures timely completion of performance appraisals.REQUIREMENTS:Bachelor's Degree required; Master's degree preferred.Minimum of 4-7 years ofrelevant experience in case management is required, hospital utilization management and/or discharge planning experience preferred.CCM - Certified Case ManagerRegistered Nurse (RN) orLCSW Certified Social Worker required.Additional InformationAs one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Healthincludes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland. Share:Apply Now

General Summary of PositionThe Pharmacy Technician, Clinical Coordinator serves as a crucial link between healthcare providers, patients, payors and pharmacies, facilitating seamless communication and coordination to ensure optimal patient care. Primary responsibilities will be to streamline the complex process of ensuring access to prescribed medications, catering to patients with unique healthcare needs. The Clinical Coordinator may assist in all areas of clinical operations, including benefits investigation, prior authorization, copay/foundation assistance, onboarding new patients, delivery coordination, drug replacement services and telephonic outreach for prescription refills. Primary Duties and ResponsibilitiesContributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Ensure compliance with governmental and accreditation regulations.Demonstrates behavior consistent with MedStar Health's mission, vision, goals, and objectives.Assists healthcare providers in navigation of the prior authorization and appeals process; researches, documents, and submits appropriate information to insurance payors; resolves issues and discrepancies, and follows each through to completion Fosters strong relationships with healthcare providers, including physicians, nurses, pharmacists, and payors to facilitate efficient communication and coordination of care Proactively tracks patient refills coming due, proposes orders to providers, escalates clinical issues to a pharmacist as required, performs outreach to patients to ensure coordination of all aspects of medication management.Researches options for copay / foundation assistance, drug replacement services and patient financial counseling; facilitates enrollment and / or connects patients to available resources Proactively tracks and (re)completes prior authorization and patient assistance enrollments that are due to expirePerforms patient onboarding, benefits investigation, order entry, and delivery coordination activitiesEnsures patients are equipped with resources (clinical/financial/educational) to maintain adherence to their medication action plan Minimum QualificationsEducationHigh School Diploma or GED required Experience3-4 years Pharmacy Technician experience in a retail, mail order, or specialty pharmacy required and1-2 years Customer service or equivalent experience preferred Licenses and CertificationsPTCB - Pharmacy Technician Certification Board Must have successfully completed the pharmacy technician certification through the nationally accredited certification examination of PTCB (Pharmacy Technician Certification Board) Upon Hire required or Successful completion of the ExCPT (Exam for the Certification of Pharmacy Technicians) Upon Hire required and Pharmacy Technician licensure or registration as required by the state in which the pharmacy is located Upon Hire required Knowledge, Skills, and AbilitiesBasic computer skillsBasic math skillsExcellent verbal and written communication skillsExcellent customer service skillsExcellent problem solving skills This position has a hiring range of $22.04 - $38.41

General Summary of PositionUnder the direct supervision of a registered pharmacist assists the pharmacists with filling medication and IV orders and delivering them to the appropriate area of the hospital. Primary Duties and ResponsibilitiesPreparation: Assists with the filling of prescriptions, under the direct supervision of a registered pharmacist. Accurately fills the orders as entered into the computer by the pharmacist. Accurately and clearly labels all medications for dispensing (lot, expiration date, mg/tablet, etc.) Accurately fills prescriptions for frozen IV bags, mini-bag plus, and pre-mixed large volume parenteral solutions. Files written physician orders. Assembles Cataract eye kit according to departmental policies and procedures. Prepares unit dosing and bar-coding of bulk medications according to departmental policies and procedures. Mixes IV additives to solutions, TPN's and Chemotherapy as required.Transports: Delivers prescriptions to the appropriate area of the hospital. Delivers prescriptions to the appropriate area of the hospital. Delivers narcotics to nursing unitsRestock: Restocks and orders pharmaceutical supplies within the hospital. Restocks SureMed/ Omnicell machines; delivers 24-hour medication exchange cart. Orders appropriate IV supplies Restocks the shelves upon delivery of Baxter IV fluids and teamfills unit dose drawers. Accurately fills floor stock requisitions for other hospital departmentsTechnical: Supports work of the department by performing clerical and secretarial tasks. Accurately enters medication charges into the computer system. Completes computer updates. Answers and directs all phone calls appropriately.Development: Maintains current knowledge, certification, and licensure. Identifies learning needs in self and initiates actions to address these education needs. Attends staff meetings or reads and signs staff meeting minutes. Attends continuing education programs in order to maintain certification. Attends hospital sponsored training programs as required by the department. Completes all mandatory requirements, certifications, and licensure within allotted timeframe for completion (License, PPD, Competencies etc.)Organizational knowledge: Works effectively within and between departments. Participates on inter-departmental teams and committees, communicating unit knowledge as appropriate. Provides department/unit with information and knowledge acquired during participation with interdepartmental teams and committees. Demonstrates a constructive approach during all interactions with staff, supervisors, and managers both inside and outside the unit.Department/Unit Specific Functions and Duties Pitches in to cover shortages within department. Fills 24-hour exchange carts. Fills updates. Orders needed IV supplies and puts order away. Puts daily order away. Completes floor stock inspections. Completes admissions, transfers and discharges. Minimum QualificationsEducationHigh School Diploma or GED or equivalent required Experience1-2 years Experience preferably in a hospital preferred Licenses and Certifications Maryland Pharmacy Technician License required or is eligible for a pharmacy student exemption from pharmacy technician registration by the State of Marlyand required CPhT national pharmacy certification within 180 Days required or PharmD student actively in a program from an ACPE accredited school of pharmacy Knowledge, Skills, and AbilitiesAbility to communicate effectively with all internal and external customers.Moderate Computer skills to perform prescription entries.Ability to read and comprehend drug nomenclature and related medical terminology.HIPAA policies on Confidentiality This position has a hiring range of $19.17 - $33.08

General Summary of PositionMedStar Health is seeking experienced Inpatient Medical Coders that are self-motivated and haveat least 3 years of inpatient acute care coding experience with knowledge in MS-DRG and/or APR-DRG.Qualified candidates must have their CCS (Certified Coding Specialist) through AHIMA.MedStar Health provides the latest technology including our EMR Cerner MedConnect, 3MHDM and 3m360 computer-assisted coding software.Selected candidates will enjoy full time, Monday – Friday, day-shift REMOTE schedule.Join one of the largest health systems in the Mid-Atlantic area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.Job Summary- Codes and abstracts primarily Inpatient acute care records using ICD-10-CM/PCS and other applicable patient classification schemes.#LI-remote Primary Duties and ResponsibilitiesContributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.Adhere to all compliance regulations and maintains annual compliance education.Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.Meets established Quality standards as defined by policies.Meets established Productivity standards as defined by policies.Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).Exhibits knowledge of the 3M system and other work-related equipment. Minimum QualificationsEducationHigh School Diploma or GED equivalent requiredCourses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required Associate's degree in coding related degree or Bachelor's degree in coding related degree preferred Experience3-4 years Inpatient coding experience required Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) preferred Licenses and Certifications CCS (Certified Coding Specialist) required RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills required. This position has a hiring range of $28.2 - $47.3

General Summary of PositionMedStar Health is seeking an experienced Inpatient Coding Specialist who is self-motivated, has a CCS certification and 3 years of inpatient acute care coding experience with knowledge in MS-DRG to join our team!MedStar Health provides the latest technology including ourEMR Cerner MedConnect, 3MHDMand3m360 computer-assisted coding software.Selected candidate will enjoy full time, Monday – Friday, dayshiftREMOTE schedule.Join one of the largest health systems in the area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.Apply today and learn how MedStar Health can provide your next great career move!Job Summary -Codes and abstracts primarily Inpatient records using ICD-10-CM and other applicable patient classification schemes.Primary Duties & Responsibilities- Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.- Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.- Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).- Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).- Exhibits knowledge of the 3M system and other work-related equipment.Qualifications- High School Diploma or GED required- Associate’s degree or Bachelor’s degree in coding related degree preferred- Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required- 3-4 years Inpatient coding experience required- Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) preferred- CCS (Certified Coding Specialist) required- RHIT (Registered Health Information Technician) and/orRHIA (Registered Health Information Administrator) preferred#LI-remote This position has a hiring range of $28.20 - $47.30

General Summary of PositionMedStar Health is seeking an experienced Ambulatory Surgery Center Medical Coder to join our team! The qualified candidate must have at least 2 years of related coding experience with a coding certification.MedStar Health provides the latest technology including ourEMR Cerner MedConnect, 3MHDMand3m360 computer-assisted coding software.The selected candidates will enjoy a full time, Monday – Friday, dayshift REMOTE schedule.Job Summary- Codes and abstracts primarily Ambulatory Surgery records and other outpatient records using ICD-10-CM, and other applicable patient classification schemes.#LIREMOTE Primary Duties and ResponsibilitiesContributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.Adhere to all compliance regulations and maintains annual compliance education.Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.Meets established Quality standards as defined by policies.Meets established Productivity standards as defined by policies.Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.Exhibits knowledge of the 3M system and other work-related equipment. Minimum QualificationsEducationHigh School Diploma or GED equivalent required andAssociate degree or Bachelor's degree in coding related degree preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required Experience 2 years ASU (Ambulatory Surgery) coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) required Licenses and Certifications CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician-based) required or COC (Certified Outpatient Coder) required RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills required. This position has a hiring range of $28.20 - $47.30