Nurse Case Manager Lead for Population Health

6 days ago


Baltimore, Maryland, United States MEDSTAR HEALTH Full time

MedStar Health is seeking a highly skilled Nurse Case Manager Lead to join our team in population health. This key role will oversee the coordination of care for a panel of attributed Medicare beneficiaries, ensuring timely access to medical services and facilitating effective use of resources.

Key Responsibilities:

  • Contribute to the achievement of department goals and objectives, adhering to policies, procedures, quality standards, and safety standards
  • Collaborate with the interdisciplinary care team to ensure attributed beneficiaries receive timely follow-up interactions after hospital discharge or Emergency Department visits
  • Coordinate referral management for attributed beneficiaries seeking high-volume and/or high-cost specialist care
  • Facilitate connection to services for patients who may benefit from behavioral health interventions
  • Engage attributed beneficiaries and caregivers in advance care planning, including MOLST and Advanced Directives
  • Under the direction of the practice physician, perform direct patient care, including wellness visits and transitional care
  • Assess, plan, implement, monitor, and evaluate options and services to meet the health needs of attributed beneficiaries
  • Support member access to quality and cost-effective care by coordinating with internal and external resources
  • Act as a liaison between members/family, physicians, and facilities/agencies, providing clinical consultation to optimize patient care and operations

Requirements:

  • Associate's degree in Nursing (ADN) required; Bachelor's degree in Nursing (BSN) preferred
  • 3-4 years of work experience, including 1+ years of proven case management experience
  • Familiarity with local area and/or population health workforce integration
  • Experience with data collection and reporting; community outreach experience, ambulatory setting experience preferred
  • RN licensure in Maryland upon hire; CCM certification within 1-1/2 years preferred

Estimated Salary Range: $87,318 - $157,289 per annum


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