RN Care Manager: Integrated Care & Patient Support

Frederick Health; Frederick (MD); On-site; USD 4,638,000 - 6,858,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401(k) with employer match

Educational assistance

Employee Assistance Program

Paid time off

Job summary

Frederick Health is seeking a dedicated Care Manager RN to collaborate with physicians and interdisciplinary teams to coordinate patient care across the continuum. You will assess health status, plan care, address barriers, and support transitions from inpatient to ambulatory settings.

You will promote self-management, provide education, and navigate patients and families through resources, while ensuring quality outcomes and efficient use of resources in a value-based care environment.

Qualifications

• Demonstrates effective interpersonal and communication skills, including superb customer service skills.
• Strong organizational and time management skills
• Excellent critical thinking skills, ability to work in a fast-paced team environment, multitask, adapt to change, and collaborate with physicians and staff.
• Ability to apply creative problem-solving to complex situations.
• Knowledge of disease management and psychosocial aspects of patient care
• Community resource knowledge
• Ability to work independently and interdependently
• Planning, organizing, and managing multiple functions
• Knowledge of basic computer software programs

Responsibilities

• Delivery of care coordination within Frederick Health which may include hospital or ambulatory site assignment.
• Performs individualized assessments and planning to develop the plan of care to address identified needs.
• Identification of barriers to care including but not limited to disease education needs, socioeconomic status, unmet social needs, impaired coping, support network dysfunction.
• Promotes and values diversity to promote inclusive working relationships.
• Communication with interdisciplinary care team, patients, and families
• Promotes coordination with healthcare professionals.
• Monitors and evaluates care management plans.
• Provides education regarding condition and symptom management.
• Possesses working knowledge of regulatory components of assigned healthcare setting.

Skills

Interpersonal skills

Customer service

Organization skills

Critical thinking

Multitasking

Adaptability

Physician collaboration

Problem solving

Disease management

Psychosocial care

Community resources

Independent work

Team collaboration

Planning & organizing

Computer skills

Education

Maryland RN license

Bachelor of Science in Nursing

ACM certification (preferred)

CPR certification

Job description

Frederick Health is seeking a dedicated Care Manager RN to collaborate with physicians and interdisciplinary teams to coordinate patient care across the continuum. You will assess health status, plan care, address barriers, and support transitions from inpatient to ambulatory settings.

You will promote self-management, provide education, and navigate patients and families through resources, while ensuring quality outcomes and efficient use of resources in a value-based care environment.