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
Work Experience Education and Experience- 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.
- 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting
- Experience with educating patients and patient goal setting (essential)
- Case Management Certification (preferred)
- Experience in a manage care information environment (preferred)
- 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- Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
- Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management
- Proficient documentation skills to maintain client records
- Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion
- Critical thinking skills to analyze and solve problems
- Strong problem management strategies and issue resolution skills
- Excellent interpersonal, verbal, and written communication skills
- Strong organization skills, detail oriented, and knowledgeable
- Ability to work independently and effectively in a fast-paced environment.
- Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities.
- 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
- Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
- Understands benefit/payer systems and reimbursement structures for patients.
- Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems
- 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.
- Knowledge of state and federal laws and resources
- 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
