Current jobs related to Nurse Case Manager - Glen Burnie - University of Maryland Medical System

  • Travel Nurse RN Position

    1 week ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a skilled travel nurse RN for a home health nursing position.Job DetailsSpecialty: Home Health NursingDiscipline: Registered NursingEmployment Type: Travel NursingPerks: Competitive pay package, day one benefits, $500 travel stipend, referral bonus, and mileage reimbursementTotalMed Case Management Staffing offers...

  • Home Health Nursing Specialist

    5 days ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    Job OpportunityTotalMed Case Management Staffing is seeking a skilled Registered Nurse to join our team as a Home Health professional.Job DetailsSpecialty: Home HealthDiscipline: Registered NurseEmployment Type: TravelWe are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in a home health setting.About the...

  • Clinical Case Management Specialist

    2 weeks ago

    Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Company OverviewJoin the esteemed University of Maryland Medical System, a recognized leader in healthcare excellence. Our institution is proud to be among the few ANCC Pathway to Excellence designated hospitals in Maryland, showcasing our commitment to high-quality patient care. With a dedicated team of over 3,200 employees and 800 physicians, we are...

  • Travel Nurse RN

    7 days ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a skilled travel nurse RN for a home health travel nursing job.Job Description and RequirementsSpecialty: Home HealthDiscipline: RNEmployment Type: TravelWe are seeking a Registered Nurse-Home Health for a travel assignment. TotalMed Case Management Staffing Job ID #The pay package is based on 8 hour shifts and 40...

  • Nurse Case Manager RN Primary Care

    1 month ago

    Glen Burnie, United States University of Maryland Medical System Full time

    Job Description Shift Schedule: Monday - Friday 8:00AM - 4:30PM Location: Baltimore Washington Medical Center General Summary Under supervision of the Case Management Leadership, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of individual patient needs. A Case Manager assists in identifying...

  • Nurse Case Manager

    1 month ago

    Glen Burnie, United States University of Maryland Medical System Full time

    Job DescriptionJob DescriptionCompany DescriptionExperience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021!  As part of the acclaimed University of Maryland Medical System, our facility is one of...

  • Travel Nurse RN

    1 week ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN - Home Health SpecialistJob Type: Travel NursingLocation: Glen Burnie, MarylandJob Description:TotalMed Case Management Staffing is seeking a skilled and compassionate Registered Nurse to join our team as a Home Health Travel Specialist. As a key member of our team, you will provide high-quality patient care and support to...

  • Traveling Healthcare Professional

    10 hours ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    Job Title: Registered Nurse - Home HealthJob Type: Travel NursingLocation: Glen Burnie, MarylandJob Description:TotalMed Case Management Staffing is seeking a skilled and compassionate Registered Nurse to join our team as a Home Health Nurse for a travel nursing assignment in Glen Burnie, Maryland.About the Job:Specialty: Home HealthDiscipline: RNShift: 8...

  • Traveling Healthcare Professional

    2 days ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    Job Title: Traveling Healthcare ProfessionalJob Type: Travel NursingLocation: NationwideJob Description:TotalMed Case Management Staffing is seeking a skilled Traveling Healthcare Professional to join our team. As a Traveling Registered Nurse, you will have the opportunity to work in various healthcare settings across the country.Responsibilities:Provide...

  • Traveling Healthcare Professional

    5 days ago

    Glen Burnie, Maryland, United States TotalMed Case Management Staffing Full time

    Job SummaryTotalMed Case Management Staffing is seeking a skilled Registered Nurse to join our team for a travel nursing assignment in a Home Health setting.Job ResponsibilitiesProvide high-quality patient care in a Home Health environmentCollaborate with healthcare teams to develop and implement individualized care plansConduct thorough assessments and...

  • Social Work Case Manager

    3 days ago

    Glen Burnie, Maryland, United States Kaiser Permanente Full time

    About the RoleKaiser Permanente is seeking a skilled Social Work Case Manager to join our team in Glen Burnie, Maryland.Job SummaryThis is a challenging and rewarding role that requires a strong understanding of healthcare systems and a passion for delivering high-quality patient care.Key ResponsibilitiesCollaborate with Healthcare Teams: Work closely with...

  • Travel nurse

    3 days ago

    Glen Burnie, MD, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Glen Burnie, Maryland. Specialty: Home Health ~ Shift: 8 hours, days ~ Employment Type: Travel We are seeking a Registered Nurse-Home Health for a travel assignment in Glen Burnie Maryland. Pay package is based on 8 hour shifts and 40 hours per...

  • Travel nurse

    3 days ago

    Glen Burnie, MD, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Glen Burnie, Maryland. Specialty: Home Health ~ Shift: 8 hours, days ~ Employment Type: Travel ~ 500 Travel Stipend Mileage Reimbursement 500 Travel Stipend Mileage Reimbursement Pay package is based on 8 hour shifts and 40 hours per week...

  • Registered Nurse Case Manager

    2 weeks ago

    Glen Allen, Virginia, United States Molina Healthcare Full time

    POSITION SUMMARYThis role requires a Registered Nurse (RN) licensed in the state of Virginia, specifically targeting candidates residing in the Western region of the state. The RN Case Manager will operate in both remote and field environments, primarily focusing on the Maternity Medicaid demographic, while also providing support for Pediatric and Adult...

  • Registered Nurse

    4 weeks ago

    Glen Burnie, United States AceCare Health Services LLC Part time $43 - $45

    Job DescriptionJob DescriptionPart-Time Registered Nurse (RN)The Part Time Registered Nurse (RN) is responsible for providing nursing care to patients in a home health setting. The RN will work under the supervision of the Registered Nurse Supervisor and will be responsible for the following duties:Perform the initial home care patient visit and re-evaluate...

  • Regional Director of Clinical Operations

    5 days ago

    Glen Carbon, Illinois, United States Professional Case Management Full time

    Job SummaryWe are seeking a highly skilled and experienced Regional Director of Clinical Operations to join our team at Professional Case Management. As a key member of our leadership team, you will be responsible for leading our clinical operations and ensuring the delivery of high-quality patient care.Key ResponsibilitiesLead and manage a team of nurse...

  • Clinical Operations Director

    5 days ago

    Glen Carbon, Illinois, United States Professional Case Management Full time

    Job SummaryWe are seeking a highly skilled and experienced Regional Director of Clinical Operations to join our team at Professional Case Management. As a key member of our leadership team, you will be responsible for leading our clinical operations and ensuring the delivery of high-quality patient care.Key ResponsibilitiesLead and manage a team of nurse...

  • RN Case Manager Home Health-Galveston

    1 month ago

    Hunters Glen, United States Interim Healthcare - Houston Full time

    RN Case Manager Home Health-Galveston TXPearland, TXInterim HealthCare, one of the nation’s leading providers of home care, is now seeking an RN Case Manager in the Galveston, TX area to join the team. Expand your career and apply today! Benefits at Interim Healthcare for Case ManagersCompetent and reliable in- office clinical support team.Weekly...

  • Care Manager-Social Worker

    3 months ago

    Glen Burnie, United States University of Maryland Medical System Full time

    Job DescriptionJob DescriptionCompany DescriptionExperience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021!  As part of the acclaimed University of Maryland Medical System, our facility is one of...

  • Registered Nurse

    2 weeks ago

    Glen Burnie, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care is currently seeking an experienced Weekend Start of Care Registered Nurse (Weekend SOC RN) for a Part Time opportunity throughout Anne Arundel & Howard County, Maryland. This part-time position is to service seniors under their home health benefit but within 1-2 communities only – it’s home health without the typical home health...

Nurse Case Manager

1 month ago

Glen Burnie, United States University of Maryland Medical System Full time
Company Description

Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021 As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence® designated hospitals in Maryland. UM BWMC features one of the state’s busiest emergency departments, as well as a team of experts who care for our community and one another. The University of Maryland Baltimore Washington Medical Center (UMBWMC) provides the highest quality health care services to the communities we serve. Our medical center is home to leading-edge technology, nationally recognized quality, personalized service and outstanding people. We have 285 licensed beds and we’re home to 3,200 employees and over 800 physicians. Our expert physicians and experienced, compassionate staff are connected to medical practices in the local community as well as at University of Maryland Medical Center in downtown Baltimore. For patients, this means access to high-quality care and research discoveries aimed at improving Maryland’s health. Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care. In addition, our medical center is home to many Centers of Excellence, offering expert outpatient health care.

Job Description

Shift Schedule: Monday - Friday 8:00AM - 4:30PM

Location: Baltimore Washington Medical Center

General Summary

Under supervision of the Case Management Leadership, 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.

Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

  • Demonstrate critical thinking skills when utilizing the nursing process, based on research, evidence-based outcomes and Standards of Practice to meet patient’s health care needs.
  • Gathers and analyzes specific criteria and guidelines to track inpatient admissions in and out-of-network, ED, readmission and high cost utilization of members associated with UMQCN/UMMS/UMBMC/UMBWMG providers.
  • 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.

i. 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.

ii. Assists the Primary Care Physician to ensure the client's medical needs are met in the most efficient, cost- effective manner.

iii. 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

iv. Establish collaborative partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health.

v. Advocate, educate and coach patients, the family and/or caregiver about treatment options, community resources, and psycho-social concerns in order to set goals and help the client develop self-care skills and independence appropriate to their age and developmental level. Implement Case Management interventions with the goal to optimize the patient’s health status

vi. Facilitate communication and coordination between members of the health care delivery team, involving the client in the decision-making process in order to minimize fragmentation in services.

vii. Document appropriately in patient medical records and/or care management application

viii. Coordinates community resources with emphasis on medical, behavioral and social services. Applies case management standards and maintains HIPAA standards and confidentiality of protected health information. Reports critical incidents and information regarding quality of care issues. Tracks, evaluates, and provides oversight for transitions of care, synchronizing “warm handoffs” between the clinic and hospitals, emergency departments or care facilities. Facilitates and ensures the sharing of information across people, functions, and sites.

ix. Work collaboratively with physicians and clinical and administrative leadership to design and implement case/disease-management protocols

x. Manages active cases based on case intensity and acuity, per departmental standards. Specialty Case Manager caseloads may vary.

  • Recognizes/understands responsibility of this key role and the responsibility this position demands in direct support of high quality patient care delivery regardless of assignment. This will be measured by the accountability/initiative taken in the performance of daily duties and assignments as itemized in major accountabilities section of job description.
  • Establish collaborative partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health.
  • Be attentive to detail to maintain accurate and timely data exchanges among all entities involved in the patients’ care
  • Consult with other external agencies to provide support services and resources
  • Communicate effectively with patients, physicians, and their staff on a regular basis.
  • Delegates and oversees the care management of lower-risk patients as well as routine chronic disease population management tasks to assigned caregivers.
  • Participates in monthly chart audits.
  • Performs special projects as assigned.
  • Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
  • Demonstrates leadership, mentorship and teamwork within dedicated care teams including clinicians, chronic disease care coordinators, medical assistants, pharmacists, social workers and others
  • Performs other duties as assigned.

Qualifications

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 setting
  • Experience 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 needs
  • Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management
  • Proficient documentation skills to maintain client records
  • Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion
  • Critical thinking skills to analyze and solve problems
  • Strong problem management strategies and issue resolution skills
  • Excellent interpersonal, verbal, and written communication skills
  • Strong organization skills, detail oriented, and knowledgeable
  • Ability to work independently and effectively in a fast pace 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 management
  • Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
  • Understands benefit/payer systems and reimbursement structures for patients.
  • Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems
  • Thorough 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 resources
  • Proficiency 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

Additional Information

All your information will be kept confidential according to EEO guidelines.