Case Manager (RN), Population Health / UMMS Quality Care Network

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Job ID: 58646
Area of Interest: Nursing
Location: Linthicum Heights, MD US
Hours of Work: M-F 8-4PM
Job Facility: University of Maryland Medical System
Employment Type: Not Indicated
Shift: DAY
What You Will Do:

University of Maryland Medical System is curerntly seeking a Case Manager, Population Health to join our Quality Care Network. (RN required)

General Summary:

Under supervision of the Case Management Lead, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of individual patient needs.  A Case Manager assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source.  A Case Manager will provide care management and coordination of care for patients across various diseases.   A Case Manager will focus on achieving patient wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation.  Overall, the Case Manager will promote direct communication with the patient, and appropriate service personnel, in order to optimize outcomes.
Principle Responsibilities and Tasks
  1. Create population-based management strategies and processes (based on a solid understanding of care management, including disease management and preventive care) that help patients manage their healthcare needs and foster care quality, cost-effectiveness, and patient engagement.   
  • Identify patients who may benefit from telephonic outreach or coordination of care; initiate the care-management processes in a quality focused, cost-effective manner across the continuum of care.     
  • Reach out to patients assigned by his or her supervisor to assess their most urgent needs, appraise the situation, and listen to the patients’ concerns
  • Develop a detailed plan of action to meet these needs, set goals, and find necessary resources to meet the goals 
  • Implement Case Management interventions with the goal to optimize the patient’s health status      e)      Document appropriately in patient medical records and/or care management application   
  • Maintain HIPAA standards and ensure confidentiality of protected health information
  • Work collaboratively with physicians and clinical and administrative leadership to design and implement case/disease-management protocols
  1. Be attentive to detail to maintain accurate and timely data exchanges among all entities involved in the patients’ care
  2. Consult with other external agencies to provide support services and resources
  3. Communicate effectively with patients, physicians, and their staff on a regular basis.

 



What You Need to Be Successful:

  1. 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. 
  2. 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting
  3. Experience with educating patients and patient goal setting (essential)
  4. Case Management Certification (preferred)
  5. Experience in a manage care information environment (preferred)

We are an Equal Opportunity/Affirmative Action employer.  All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. 
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