Senior Case Manager I Surgery Pod

University of Maryland Medical System; Baltimore (MD); On-site; USD 60,000 - 80,000; Full time

Job summary

An established medical center in Maryland seeks a Case Manager dedicated to providing comprehensive care coordination and discharge planning for patients. You will assess individual needs and work collaboratively with multidisciplinary teams to optimize patient outcomes. The ideal candidate will possess a BSN, a valid RN license for Maryland, and at least two years of relevant experience. This role offers a Monday to Friday schedule with weekend rotations and emphasizes effective communication and patient advocacy.

Qualifications

• Must hold a BSN or equivalent health care degree.
• Licensure as a Registered Nurse in the state of Maryland required.
• A minimum of 2 years of experience as a case manager is required.

Responsibilities

• Provide care coordination and discharge planning for patients.
• Develop and implement discharge plans.
• Collaborate with multidisciplinary teams to enhance patient care.

Skills

Knowledge of managed care

Effective verbal and written communication skills

Strong communication skills

Analytical and team building skills

Ability to work collaboratively

Hospital/Case Management software proficiency

Education

BSN or equivalent health care degree

Licensure as a Registered Nurse in Maryland

Minimum 2 years of experience as a case manager

Job description

General Summary

Under general supervision of the Manager of Case Management, the Case Manager provides care coordination and discharge planning for an assigned patient case load. The Case Manager will assess individual patient’s needs, coordinate and implement plans of care and monitor and evaluate outcomes across the continuum of care.

Principal Responsibilities And Tasks

• Assesses assigned patients and integrates psychosocial assessment within the multidisciplinary team. Works collaboratively with the multi-disciplinary team to determine potential and actual risks to recovery and formulates plan to determine appropriate level of care upon disposition from the acute care setting.
• Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B, including documentation in the medical record.
• Multidisciplinary collaboration with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting.
• Facilitates timely transition plan.
• Active leadership role in the ongoing management of inpatient length of stay and the reduction of readmissions across the organization.
• Integrates work with ambulatory and clinic transitional case managers.
• Leadership in care management rounds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care.
• Develops and implements corrective action plans for resolution of complex problematic issues and elevates to leads as necessary.
• Ensures authorizations have been completed in a timely manner.
• Collaborates with Utilization Management and synthesizes information in order to reduce avoidable days.
• Collaborates with Physician Advisor for complex issues.
• Guides physicians in appropriate clinical documentation.
• Actively participates in clinical performance improvement activities as assigned.
• Builds a network of positive working relationships that advocate for the patient.
• Remains current on clinical practice and protocols impacting clinical reimbursement.
• Participates in department improvement initiatives.
• Serves to orient and educate Case Manager 1s to departmental practices.
• Provides oversight and education to case management interns placed in the practice area.
• Participates in at least one of the following professional growth and development activities:
• Certified in a specialty area
• Matriculation or completion of a degree or certificate program (post-baccalaureate 12 credits or more)
• Formal teaching
• Member of a professional association board or committee
• Peer reviewers for a professional journal (minimum of 2 per year)
• Participates in leadership activities:
• Demonstrates expertise in skills specific to assigned practice area
• Leads and promotes best practice in the day to day operations of practice area
• Serves as a resource expert to other departments in an area of expertise
• Provides formal training, education or consultation to other departments

Knowledge, Skills And Abilities

• Knowledge of managed care, discharge planning and case management is required.
• Highly effective verbal and written skills are required.
• Strong communication skills, self confidence and experience dealing physicians required.
• Excellent analytical and team building skills, as well as the ability to prioritize and work independently is required.
• Must possess the ability to work collaboratively with other disciplines.
• Ability to work with Hospital/Case Management related software programs required.
• Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs.

Patient Safety

Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.

• Takes action to correct observed risks to patient safety.
• Reports adverse events and near misses to appropriate management authority.
• Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Education, Experience And Qualifications

• Licensure as a Registered Nurse or other equivalent health care license in the state of Maryland required.
• Must hold a BSN or equivalent health care degree.
• A minimum of 2 years of experience as a case manager is required.
• Current and active specialty certification is preferred.

Additional Information

• All your information will be kept confidential according to EEO guidelines.
• Work Schedule: Monday- Friday with weekend rotation.
• Review the 2025-2026 UMMS Benefits Guide.

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