Registered Nurse Case Manager, Population Health

University of Maryland Medical System; Linthicum (MD); On-site; USD 48,000 - 73,000; Full time

Job summary

University of Maryland Medical System Corporation is seeking an experienced Registered Nurse Case Manager to join the Population Health team.

You will manage patient care, coordinate services, and drive health outcomes across diverse populations.

Qualifications

• Active RN license in Maryland or eligible under Compact.
• 3-5 years of care coordination or outpatient ambulatory experience.
• Case Management Certification preferred.
• Knowledge of Lean or PDSA quality improvement processes.

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.
• Utilise data and analytics to identify trends and improve care delivery.

Skills

RN Case Management

Care Coordination

Data analysis

Interdisciplinary collaboration

Patient education

Education

RN Licensure in MD/Compact

BSN preferred

Tools

Epic EMR

Microsoft Office

Excel

Job description

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
• Utilise 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 settingExperience 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 needsProficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case managementProficient documentation skills to maintain client recordsAbility to work effectively in a stressful work environment and handle confidential issues with integrity and discretionCritical thinking skills to analyze and solve problemsStrong problem management strategies and issue resolution skillsExcellent interpersonal, verbal, and written communication skillsStrong organization skills, detail oriented, and knowledgeableAbility 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 managementAbility to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skillsUnderstands benefit/payer systems and reimbursement structures for patients.Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systemsThorough 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 resourcesProficiency 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:

Pay Range: $35.08 - $52.64