RN Case Management Manager

Apex Home Health, Hospice & Home Care; Columbia (MD); On-site; USD 75,000 - 110,000; Full time

Job summary

Apex Home Health, Hospice & Home Care in Columbia, MD is seeking a dedicated Case Management Program Coordinator to support operational leadership by coordinating clinical workflows, utilization review activities, and program compliance.

You will strive for high-quality, cost-effective outcomes, promote continuous improvement in care delivery, and collaborate with interdisciplinary teams and community partners to ensure care continuity.

Qualifications

• Strong understanding of case management and clinical workflow coordination.
• Ability to manage utilization review and support quality/cost performance.
• Knowledge of compliance requirements and quality improvement practices.
• Excellent collaboration and communication skills across clinical and community partners.
• Experience supporting staff development and process improvement.

Responsibilities

• Coordinate clinical workflow operations to support effective case management.
• Oversee utilization review processes to promote appropriate, efficient care.
• Support staff development and training to strengthen clinical practice.
• Ensure compliance with program and regulatory requirements.
• Monitor and improve quality and cost outcomes.
• Collaborate with interdisciplinary teams, providers, and community agencies to improve care continuity.

Skills

Case management

Clinical workflow

Utilization review

Regulatory compliance

Collaboration

Staff development

Job description

Job Summary

Supports operational leadership for a case management program by coordinating clinical workflows, utilization review activities, and program compliance. Ensures high quality and cost-effective outcomes while promoting continuous improvement across care delivery.

Key Responsibilities

• Coordinate clinical workflow operations to support effective case management.
• Oversee utilization review processes to promote appropriate, efficient care.
• Support staff development and training to strengthen clinical practice.
• Ensure compliance with program and regulatory requirements.
• Monitor and improve quality and cost outcomes.
• Collaborate with interdisciplinary teams, providers, and community agencies to improve care continuity.

Qualifications & Skills

• Strong understanding of case management and clinical workflow coordination.
• Ability to manage utilization review and support quality/cost performance.
• Knowledge of compliance requirements and quality improvement practices.
• Excellent collaboration and communication skills across clinical and community partners.
• Experience supporting staff development and process improvement.