Registered Nurse Case Manager, Population Health

University of Maryland Medical System Linthicum Heights, MD, US

Job Requirements

Registered Nurse Case Manager, Population Health

Full-time

Job Description

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 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

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