Onsite Case Manager I: Care Coordination & Transitions

University of Maryland Medical System Corporation; Bel Air (MD); On-site; USD 53,000 - 80,000; Full time

Job summary

The University of Maryland Medical System Corporation is seeking a Case Manager I to provide patient-centered care management on-site in Bel Air, MD. The role includes assessment, care planning, coordination, and ongoing monitoring to support safe transitions across the continuum of care.

This day-shift position (Mon-Fri, 8:00 am–4:30 pm EST) requires on-site presence, collaboration with interdisciplinary teams, comprehensive documentation, and adherence to regulatory standards to drive positive

Qualifications

• Conduct comprehensive assessments of patients' clinical, psychosocial, functional, financial, and support needs to identify risks, barriers, and opportunities for intervention.
• Develop, implement, and monitor individualized care plans that align with patient goals, clinical needs, and evidence-based practices.
• Coordinate services across the continuum of care to ensure timely access to appropriate treatments and support services.
• Educate and engage patients and caregivers to support informed decision-making, self-management, and achievement of health goals.
• Maintain accurate, timely, and compliant documentation in accordance with regulatory, accreditation, and organizational requirements.

Responsibilities

• Conduct comprehensive assessments of patients' clinical, psychosocial, functional, financial, and support needs to identify risks, barriers, and opportunities for intervention.
• Develop, implement, and monitor individualized care plans that align with patient goals, clinical needs, and evidence-based practices.
• Coordinate services and resources across the continuum of care to ensure timely access to appropriate treatments and support services.
• Facilitate safe and effective transitions between care settings ensuring coordination of a safe discharge plan and follow up care.
• Educate and engage patients and caregivers to support informed decision-making, self-management, and achievement of health goals.
• Assist patients in navigating healthcare benefits, community resources, financial assistance programs, and other available services.
• Maintain accurate, timely, and compliant documentation in accordance with regulatory, accreditation, and organizational requirements.
• Collaborate with interdisciplinary teams to improve care coordination, patient outcomes, and operational effectiveness.
• Participate in quality improvement initiatives and professional development activities to maintain current knowledge and skills.
• Perform all other duties as assigned.

Skills

Care management

Discharge planning

Transitions of care

Care coordination

Patient education

Interdisciplinary teamwork

Documentation

Risk identification

Relationship building

Resource navigation

Education

Associate degree in Nursing

Bachelor's degree in a health-related field

Maryland licensure (RN/PT/SW)

BSN

Case management certification (CCM)

Job description

The University of Maryland Medical System Corporation is seeking a Case Manager I to provide patient-centered care management on-site in Bel Air, MD. The role includes assessment, care planning, coordination, and ongoing monitoring to support safe transitions across the continuum of care.

This day-shift position (Mon-Fri, 8:00 am–4:30 pm EST) requires on-site presence, collaboration with interdisciplinary teams, comprehensive documentation, and adherence to regulatory standards to drive positive