**Details** + **Department:** Post Acute + **Schedule:** Monday-Friday, 8:00AM-4:30PM. Employee will travel between hospital and skilled nursing facilities + **Hospital:** Ascension St. Agnes + **Location:** Baltimore, MD + **Salary:** $33.44-$50.16 Actual compensation offered will vary based on factors including applicable licenses, certifications, education, experience, location, qualifications and comparison with associates in similar roles. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Coordinates the overall interdisciplinary plan of care for patient, from admission to discharge. Responsibilities: + Create plan for care across the continuum, integrating patient/family preferences and values. + Monitor patient medical necessity and level of care through assessments, ongoing evaluations and/orpatient records. + Advocate for resources and removal of barriers. + Maintain ongoing dialog with supervisor and care transition team members to ensure effectiveimplementation and reevaluation of health plan. + Act as a resource for adequate medical record documentation, level of care recommendations, andservices as they relate to diagnoses, and treatment options for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or jobtransfer date required. + BLS Provider preferred. American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education: + Diploma from an accredited school/college of nursing OR Required professional licensure at time ofhire. **Additional Preferences** + **Basic understanding of Medicare and Health Insurance** + **Experience working with diverse communities** + **Knowledge in utilizing multiple EMR’s (Meditech, eCW, Point Click Care, OCCP)** + **Knowledge in understanding medical necessity for level of care** + **Knowledge of Case management and previous experience in skilled nursing facilities** + **Possesses a high-level clinical knowledge, critical thinking skills, customer service, and problem-solving skills, as well as, the ability to effectively interact with all levels of management and a highly diverse patient population.** + **Excellent communication, organizational, interpersonal skills and are able to effectively manage and prioritize tasks.** + **Self motivated, self directed individual with high level of critical thinking** **Why Join Our Team** Ascension Saint Agnes in Baltimore, Maryland operates a full-service, 254-bed teaching hospital, the Ascension Saint Agnes Medical Group, Ascension Saint Agnes Imaging Center and Ascension Saint Agnes Foundation. As an associate, you will be a part of a team that is committed to providing a place of respect and inclusion for all associates, as well as a rich learning environment with countless opportunities for career growth and professional development. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. **Equal Employment Opportunity Employer** Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf) Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. **This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**