Registered Nurse Case Manager, Population Health

University of Maryland Medical System Linthicum Heights, MD

Job Requirements General Summary Under supervision of the Case Management Leadership, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of individual patient needs. A Case Manager assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. A Case Manager will provide care management and coordination of care for patients across various diseases. A Case Manager will focus on achieving patient wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Overall, the Case Manager will promote direct communication with the patient, and appropriate service personnel, in order to optimize outcomes. Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Demonstrate critical thinking skills when utilizing the nursing process, based on research, evidence-based outcomes and Standards of Practice to meet patient’s health care needs. Gathers and analyzes specific criteria and guidelines to track inpatient admissions in and out-of-network, ED, readmission and high cost utilization of members associated with UMQCN/UMMS providers. Create population-based management strategies and processes (based on a solid understanding of care management, including disease management and preventive care) that help patients manage their healthcare needs and foster care quality, cost-effectiveness, and patient engagement. Identify patients who may benefit from telephonic outreach or coordination of care; initiate the care-management processes in a quality focused, cost-effective manner across the continuum of care. Assists the Primary Care Physician to ensure the client’s medical needs are met in the most efficient, cost- effective manner. Reach out to patients assigned by his or her supervisor to assess their most urgent needs, appraise the situation, and listen to the patients’ concerns Establish collaborative partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. Advocate, educate and coach patients, the family and/or caregiver about treatment options, community resources, and psycho-social concerns in order to set goals and help the client develop self-care skills and independence appropriate to their age and developmental level. Implement Case Management interventions with the goal to optimize the patient’s health status Recognizes/understands responsibility of this key role and the responsibility this position demands in direct support of high-quality patient care delivery regardless of assignment. This will be measured by the accountability/initiative taken in the performance of daily duties and assignments as itemized in major accountabilities section of job description. Establish collaborative partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. Be attentive to detail to maintain accurate and timely data exchanges among all entities involved in the patients’ care Consult with other external agencies to provide support services and resources Communicate effectively with patients, physicians, and their staff on a regular basis. Delegates and oversees the care management of lower-risk patients as well as routine chronic disease population management tasks to assigned caregivers. Participates in monthly chart audits. Performs special projects as assigned. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities. Demonstrates leadership, mentorship and teamwork within dedicated care teams including clinicians, chronic disease care coordinators, medical assistants, pharmacists, social workers and others Performs other duties as assigned. Work Experience Education and Experienc e 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/EMR software (e.g., Epic) and other software in order to perform job duties

RN

Full-time

1 day ago

Clinical Nurse II

University of Maryland Medical System Baltimore, MD

$37.75 / hour

Job Requirements This role is reserved for the new graduate or nurse with less than 12 months experience. The nurse will utilize this time to learn the institution and nursing practice. It is expected that a nurse in this role successfully pass the probationary period within 12 months (18 months maximum with a defined action plan developed with manager). Utilizes the nursing process as the frame of reference for practice as a professional nurse. Participates in activities to develop own practice, and to support group practice goals at the unit level. Functions effectively as a member of a multidisciplinary health care team. Is accountable to patient, family and team members for care provided, and to the nurse manager for totality of work performance. Clinical Practice/Care Delivery Novice; focus of clinical practice/care delivery is on own learning Uses/applies evidence based practice; accesses appropriate resources Follows unit based protocols, documentation, pathways, etc Involves patient and family in care; follows Relationship Based Care guidelines Conducts patient/family needs assessment; initiates and documents patient/family education Assists with precepting students, PCT or peer for isolated days (not accountable for entire orientation); may assist with share days or shadow days PRN Professional Development Responsible for accessing education applicable to self professional development; focus on completion of competencies appropriate for patient care setting. Successful completion of orientation within 12 months (18 months for those with an identified development plan). Accountable for orientation e.g. assignments, goal setting, communication of needs, attending required orientation meetings, etc). Accountable for achieving/maintaining requirements for unit practice, such as Triage for ED nurses, arrest team role for ICUs. Attends mandatory training and education classes specific to unit/department. Support and attend educational offerings such as Journal Clubs, Nursing Grand Rounds, in-services. Service Quality/Safety Follows unit protocols and Best Practices addressing NSQI. Supports unit based initiatives for process improvement plans, including data collection. Aware of patient/family satisfaction scores and contributes to unit initiatives for improvement. Recognizes potential/actual patient/family issues and seeks assistance to address. Participates in collecting data to evaluate RBC outcomes, such as hand offs, medication safety, etc. Participates in some or all elements of research. Unit Operations Supports Charge Nurse role and demonstrates basic understanding of the role. Actively contributes to teamwork (cooperates with peers, flexible with assignments, takes admissions as required, etc). May orient to charge if needed (situation dependent upon unit and individual’s progress). Attends staff meetings (per unit protocols). Aware of and supports unit, divisional and organizational governance structure and opportunities. Participates in unit level decision making via governance model; provides feedback as appropriate. Participates in organizational initiatives such as surveys (Employee Opinion, MHA Retention and others). Provides feedback for peer review as requested. Maintains standards for unit operations (equipment maintenance, scheduling guidelines, etc). Maintains regulatory requirements for JCAHO readiness; participates in tracer activities. Demonstrates knowledge and skills necessary to provide care appropriate to the patient population(s) served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Provides the care needed as described in the unit/area/department policies and procedures Work 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. Current CPR certification required. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Ability to learn and use computer systems in order to manage patient information. Demonstrated effective verbal and written communication skills. Pay Range: $37.75 Other Compensation (if Applicable) Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.

RN

Full-time

1 day ago

Registered Nurse Case Manager, Population Health

University of Maryland Medical System Linthicum Heights, MD

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 Education and Experienc e 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

RN

Full-time

2 days ago

Clinical Nurse I

University of Maryland Medical System Baltimore, MD

Job Requirements General Summary This role is reserved for the new graduate or nurse with less than 12 months experience . The nurse will utilize this time to learn the institution and nursing practice. It is expected that a nurse in this role successfully pass the probationary period within 12 months (18 months maximum with a defined action plan developed with manager). Utilizes the nursing process as the frame of reference for practice as a professional nurse. Participates in activities to develop own practice, and to support group practice goals at the unit level. Functions effectively as a member of a multidisciplinary health care team. Is accountable to patient, family and team members for care provided, and to the nurse manager for totality of work performance. Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Clinical Practice/Care Delivery Novice; focus of clinical practice/care delivery is on own learning Uses/applies evidence based practice; accesses appropriate resources Follows unit based protocols, documentation, pathways, etc Involves patient and family in care; follows Relationship Based Care guidelines Conducts patient/family needs assessment; initiates and documents patient/family education Assists with precepting students, PCT or peer for isolated days (not accountable for entire orientation); may assist with share days or shadow days PRN Service Quality/Safety Follows unit protocols and Best Practices addressing NSQI. Supports unit-based initiatives for process improvement plans, including data collection. Aware of patient/family satisfaction scores and contributes to unit initiatives for improvement. Recognizes potential/actual patient/family issues and seeks assistance to address. Participates in collecting data to evaluate RBC outcomes, such as hand offs, medication safety, etc. Participates in some or all elements of research. Unit Operations Supports Charge Nurse role and demonstrates basic understanding of the role. Actively contributes to teamwork (cooperates with peers, flexible with assignments, takes admissions as required, etc.). May orient to charge if needed (situation dependent upon unit and individual’s progress). Attends staff meetings (per unit protocols). Aware of and supports unit, divisional and organizational governance structure and opportunities. Participates in unit level decision making via governance model; provides feedback as appropriate. Participates in organizational initiatives such as surveys (Employee Opinion, MHA Retention and others). Provides feedback for peer review as requested. Maintains standards for unit operations (equipment maintenance, scheduling guidelines, etc.). Maintains regulatory requirements for JCAHO readiness; participates in tracer activities. Demonstrates knowledge and skills necessary to provide care appropriate to the patient population(s) served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Provides the care needed as described in the unit/area/department policies and procedures. Qualifications Work 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. Current CPR certification required. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Ability to learn and use computer systems in order to manage patient information. Demonstrated effective verbal and written communication skills. Working Conditions Weekend, shift work, holiday, on-call, and overtime may be required. Work requires maximum lifting weight of 35 lbs when participating in patient care tasks 50% of the time to position and/or assist patients on to carts or into wheelchairs or beds, and generally, with ambulation. Work requires standing and/or walking for up to 100% of scheduled work time; maximum lifting weight of 50 lbs when lifting equipment and supplies. There is potential for regular exposure to patients possessing infectious diseases requiring observance of universal precautions requiring wearing protective clothing, gloves, and mask as appropriate, and observance of safe work practices. Patient Safety Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Implements policies, procedure, and standards consistently in the performance of assigned duties. Develops effective working relationships and maintains good communication with other team members. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Registered Nurse, Nursing Med Oncology

University of Maryland Medical System Baltimore, MD

$37.75 / hour

Job Requirements This role is reserved for the new graduate or nurse with less than 12 months experience. The nurse will utilize this time to learn the institution and nursing practice. It is expected that a nurse in this role successfully pass the probationary period within 12 months (18 months maximum with a defined action plan developed with manager). Utilizes the nursing process as the frame of reference for practice as a professional nurse. Participates in activities to develop own practice, and to support group practice goals at the unit level. Functions effectively as a member of a multidisciplinary health care team. Is accountable to patient, family and team members for care provided, and to the nurse manager for totality of work performance. Clinical Practice/Care Delivery Novice; focus of clinical practice/care delivery is on own learning Uses/applies evidence based practice; accesses appropriate resources Follows unit based protocols, documentation, pathways, etc Involves patient and family in care; follows Relationship Based Care guidelines Conducts patient/family needs assessment; initiates and documents patient/family education Assists with precepting students, PCT or peer for isolated days (not accountable for entire orientation); may assist with share days or shadow days PRN Professional Development Responsible for accessing education applicable to self professional development; focus on completion of competencies appropriate for patient care setting. Successful completion of orientation within 12 months (18 months for those with an identified development plan). Accountable for orientation e.g. assignments, goal setting, communication of needs, attending required orientation meetings, etc). Accountable for achieving/maintaining requirements for unit practice, such as Triage for ED nurses, arrest team role for ICUs. Attends mandatory training and education classes specific to unit/department. Support and attend educational offerings such as Journal Clubs, Nursing Grand Rounds, in-services. Service Quality/Safety Follows unit protocols and Best Practices addressing NSQI. Supports unit based initiatives for process improvement plans, including data collection. Aware of patient/family satisfaction scores and contributes to unit initiatives for improvement. Recognizes potential/actual patient/family issues and seeks assistance to address. Participates in collecting data to evaluate RBC outcomes, such as hand offs, medication safety, etc. Participates in some or all elements of research. Unit Operations Supports Charge Nurse role and demonstrates basic understanding of the role. Actively contributes to teamwork (cooperates with peers, flexible with assignments, takes admissions as required, etc). May orient to charge if needed (situation dependent upon unit and individual’s progress). Attends staff meetings (per unit protocols). Aware of and supports unit, divisional and organizational governance structure and opportunities. Participates in unit level decision making via governance model; provides feedback as appropriate. Participates in organizational initiatives such as surveys (Employee Opinion, MHA Retention and others). Provides feedback for peer review as requested. Maintains standards for unit operations (equipment maintenance, scheduling guidelines, etc). Maintains regulatory requirements for JCAHO readiness; participates in tracer activities. Demonstrates knowledge and skills necessary to provide care appropriate to the patient population(s) served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Provides the care needed as described in the unit/area/department policies and procedures Work 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. Current CPR certification required. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Ability to learn and use computer systems in order to manage patient information. Demonstrated effective verbal and written communication skills. Pay Range: $37.75 Other Compensation (if Applicable) Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.

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