Job Requirements
We are seeking a dedicated and experienced Registered Nurse Case Manager to join our Population Health team. The ideal candidate will play a critical role in managing patient care, coordinating services, and improving health outcomes across diverse populations.
Key Responsibilities:
- Assess and evaluate patient health needs to develop individualized care plans
- Coordinate with healthcare providers, patients, and families to ensure comprehensive care
- Monitor patient progress and adjust care plans as necessary
- Educate patients and families on health management and disease prevention
- Collaborate with interdisciplinary teams to optimize population health strategies
- Utilize data and analytics to identify trends and improve care delivery
Join us in making a meaningful impact on community health through compassionate and coordinated care.
Work Experience
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Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required; BSN preferred.
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3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting
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Experience with educating patients and patient goal setting (essential)
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Case Management Certification (preferred)
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Experience in a manage care information environment (preferred)
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Preferred experience would include knowledge of quality improvement processes (LEAN or PDSA); practice re-design work such as patient centered medical home and Joint Commission and National Committee for Quality Assurance (NCQA) accreditations.
Knowledge, Skills and Abilities
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Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
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Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management
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Proficient documentation skills to maintain client records
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Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion
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Critical thinking skills to analyze and solve problems
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Strong problem management strategies and issue resolution skills
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Excellent interpersonal, verbal, and written communication skills
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Strong organization skills, detail oriented, and knowledgeable
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Ability to work independently and effectively in a fast-paced environment.
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Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities.
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Ability to effectively present information and respond to questions from families, members, providers, and clients, as well as the ability to relate effectively to upper management
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Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
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Understands benefit/payer systems and reimbursement structures for patients.
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Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems
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Thorough and solid knowledge of health care and managed care delivery systems. This includes standards of medical practice, insurance benefits structure, and the utilization and case management process.
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Knowledge of state and federal laws and resources
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Proficiency in Microsoft Office including Outlook, Word, Excel and PowerPoint; knowledge of or the ability to learn care management/EMRsoftware (e.g., Epic) and other software in order to perform job duties
Benefits
Compensation:
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Pay Range: $35.08 - $52.64
