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Nurse Case Manager jobs at University of Maryland Medical System - 73 jobs

  • Case Manager- Lead

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience. A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education. Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County. University of Maryland Upper Chesapeake Health owns and operates: Upper Chesapeake Medical Center (UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, Bel Air, MD The Patricia D. and M. Scot Kaufman Cancer Center, Bel Air, MD The Senator Bob Hooper House, Forest Hill, MD Job Description On a daily basis the Case Manager Team Lead will ensure safe, timely and appropriate provision of services. Coaches team members to problem solve cases to optimize patients' health, reduce unnecessary care and limit healthcare spending. Monitors team member documentation and data collection to ensure complete, accurate and compliant records. Works collaboratively with the Population Health management team, as well as internal and external stakeholders. May interact with patients or customers ranging in age from infant to geriatric. Position requires coverage on holidays and on back- up call system on weekends. Qualifications Education & Training: Current RN license required OR Current Social work license LMSW, LCSW, LCSW-C required. Associate's degree or diploma in nursing OR Master's in Social Work degree required. Bachelors of Science in Nursing preferred. Work Orientation & Experience: Two years of experience in Case Management and understanding of Utilization Management preferably in an acute care setting required. Skills & Abilities: Demonstrate skill in a) clinical case management; b) data analysis; c) effective critical thinking; d) written and oral communications; and e) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult). Demonstrate knowledge of a) acute care criteria and b) case management principles. Demonstrate ability to a) communicate and collaborate effectively with both internal and external customers (colleagues, Medical Staff, liaisons, and patient/family); b) assess, adapt, and calmly respond to changing and/or crisis environment; c) make independent decisions consistent with current policies, procedures, and ethical standards; d) prioritize work assignments and manage time effectively to complete duties; and e) be available to adapt hours to meet the needs of all customers. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $44.76-$67.19 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $44.8-67.2 hourly 49d ago
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  • Complex Case Manager

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience. A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education. Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County. University of Maryland Upper Chesapeake Health owns and operates: University of Maryland Harford Memorial Hospital (UM HMH), Havre de Grace, MD University of Maryland Upper Chesapeake Medical Center (UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, Bel Air, MD The Patricia D. and M. Scot Kaufman Cancer Center, Bel Air, MD The Senator Bob Hooper House, Forest Hill, MD Job Description JOB SUMMARY: Collaborates with members of the healthcare team, community resources, and with the patient/patient family to promote optimal outcomes for the patient across the continuum of care. Maintains a smaller caseload that requires increased attention and intensive care coordination due to complex social dynamics, legal involvement and connection with DSS/DDA. Formulates unique solutions to complex discharge planning issues (thinking outside the box). Assists with navigating through barriers that may be preventing the safe disposition of patients. This position is goal oriented with a high level of accountability correlated to the continuum of care, quality of care and patient satisfaction. Supports the success of the care coordination of this patient population with a high degree of professionalism and expertise. Qualifications Education & Training: Maryland Social Work licensure LMSW or LCSW level required or Maryland licensed RN, Bachelors preferred. Work Orientation & Experience: Minimum of 3 years of relevant hospital case management experience. Acute care social work or nursing experience required. Knowledge of Case Management, Critical Pathways, and Utilization Management preferred. The applicant may require up to three months of detailed job orientation and training to gain specific capabilities to perform essential job functions Skills & Abilities: Demonstrate skill in: a) effective critical thinking; b) written and verbal communications; c) prioritize work assignments and manage time effectively to complete duties; d) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult); e) Demonstrate knowledge of Medicare and Medicaid regulations and documentation f) Uses case management principles; g) assess, adapt, and calmly respond to changing and/or crisis environment; h) make independent decisions consistent with current policies, procedures, health care and ethical standards; and i) be available to adapt hours to meet the needs of all customers Additional Information All your information will be kept confidential according to EEO guidelines. Compensation Pay Range: $42.64- $64 Other Compensation (if applicable): n/a Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $42.6-64 hourly 60d+ ago
  • NURSE COORDINATOR

    Lifebridge Health 4.5company rating

    Baltimore, MD jobs

    The Nurse Coordinator at Sinai Hospital collaborates with clinical teams to ensure quality patient care and smooth post-discharge transitions. They develop and implement educational programs, coordinate preceptor assignments, and provide clinical guidance to nursing staff. This role requires a Bachelor of Science in Nursing, current RN licensure in Maryland, and experience in patient care coordination within a hospital setting. NURSE COORDINATOR Baltimore, MD SINAI-HOSPITAL SINAI POST DISCHARGE Full-time - Day shift - 8:00am-4:30pm Staff Nurse 91660 $38.20-$59.21 Experience based Posted:September 2, 2025 Apply Now Save Job Saved Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Post‐Discharge Clinic at Sinai Hospital is part of an innovative care model designed to support patients in the critical period immediately following hospital discharge. Staffed by advanced‐practice providers (Nurse Practitioners or Physician Assistants), this clinic plays a pivotal role in ensuring safe, smooth transitions from inpatient care to outpatient recovery. The Nurse Coordinator, performs in collaboration with appropriate clinical personnel, participates in the coordination of clinical practice activities in the office through the development and implementation of educational and orientation programs and clinical problem-solving. Key Responsibilities: Works as a collaborative member of the clinical team to ensure quality clinical services and patient care operations. Initiates communication resulting in efficient delivery of patient care. Participates in the development, implementation and presentation of ongoing educational and patient care programs utilizing the nursing process. Coordinates assignments of preceptors for new personnel and provides clinical guidance and support as needed Requirements: One (1) - Three (3) years experiences Bachelor of Science in Nursing required Basic Life Support Certified Diabetes Care and Education Specialist Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license. Additional Information What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. Why LifeBridge Health? With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: Apply Now Keywords: nurse coordinator, patient care, post-discharge, clinical education, nursing process, care coordination, registered nurse, healthcare, clinical guidance, hospital nursing
    $78k-93k yearly est. 1d ago
  • Adult Home Care RN

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    Make it happen at Hopkins Provides, coordinates, teaches, AND supervises nursing care for a group of patients in the setting of the patients' home. Employs the nursing process to develop and implement plans of care for patients requiring in-home health and support services. In addition to specific and skilled treatments and procedures, the nurse provides health teaching to patients and care givers, preventive health screening, referral and coordination of services in the agency and the community, and advocacy for the patient in obtaining health-related goals. The Case Manager ensures adequate service provision, including scheduling of visits, based on patients identified needs and priorities for care. Complies with all Home Health Services policies and procedures. Here's what some of our Home Care Team Members say about their positions in Johns Hopkins Home Care Services: "Having a position in homecare allows me to be the nurse that I have always wanted to be. The autonomy, along with being able to take enough time with my patients to ensure positive outcomes is very rewarding. My work/life balance is amazing with homecare because I am able to have a flexible schedule to meet the needs of my patients and my family." - Jessica H., RN Home Care "What I find incredibly rewarding about being a home care nurse is the autonomy to support patients in their own homes by providing personalized care, advocating for their needs to enhance their quality of life, and building close relationships with not only your patients but their families as well. Each day can present new challenges and learning experiences that reinforce the importance of compassion and dedication in nursing, all creating a profound sense of fulfillment." - Teresa H., RN Home Care Work Location: Baltimore County, Baltimore City, Harford County, Howard County, and/or Anne Arundel County Work Hours: must be available from 8:30a-5p. However, patient visit times are flexible. Besides a great compensation package - here are the other benefits of working as a Registered Nurse (RN) with our team: Interdisciplinary approach to care A full benefit package including Health, Vision, Dental, Tax-Free Saving Plans, Tuition Reimbursement, Dependent Tuition, retirement contribution, and more! Work Life Balance: You'll accrue annual leave; we offer dependent care reimbursement, short/long term disability; pick your perk program (available after 18 months of employment) and an employee assistance program that serves your entire family. An organization that supports, recognizes and invests in their nurses. To succeed in this role, you will need the following: Associates in Nursing required; BSN preferred Current RN licensure in MD or willingness to obtain needed license. Active American Heart Association or Red Cross BLS CPR Valid Maryland drivers' license and current auto insurance, working vehicle; At least 2 years of Acute Care, ICU or ED experience required 2 years of home care experience preferred Passion for educating patients in their home environment a MUST. Experience with electronic documentation (i.e. Epic). Salary Range: Minimum 36.31/hour - Maximum 56.28/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers. By applying, you consent to your information being transmitted by Veritone to the Employer, as data controller, through the Employer's data processor SonicJobs. See Johns Hopkins Medicine Privacy Policy at ****************************************************** and SonicJobs Privacy Policy at ******************************************* and Terms of Use at ********************************************* PandoLogic. Category:Healthcare, Keywords:Medical Case Manager, Location:Baltimore, MD-21201
    $45k-63k yearly est. 15h ago
  • Nurse Manager-Hospice Inpatient

    Lifebridge Health 4.5company rating

    Westminster, MD jobs

    The Nurse Manager for Hospice Inpatient oversees clinical operations, staff development, and performance improvement across multiple inpatient hospice units. This leadership role involves managing staffing, budgets, regulatory compliance, and fostering a supportive work environment to deliver high-quality end-of-life care. The position requires an experienced registered nurse with strong communication, strategic planning, and team management skills. Nurse Manager-Hospice Inpatient Westminster, MD BridgingLife Hospice & Palliative Care HOSPICE ADMIN Full-time - Days/Evenings/Nights - 9:00am-5:00pm RN Leader 91264 $44.56-$69.07 Posted:Yesterday Apply Now Save Job Saved Summary Manager Hospice Inpatient - Full Time (Hours Vary) Locations: Sinai Hospital and Carroll Hospital Department: Hospice Inpatient Units Status: Full Time Schedule: Hours vary (flexibility required) Compensation: Competitive pay, great benefits, generous PTO Position Summary We are seeking a dynamic and experienced Hospice Inpatient Manager to oversee operations across three inpatient hospice units located at Sinai Hospitall and Carroll Hospital. The manager will lead multidisciplinary teams, drive clinical excellence, and support patient- and family-centered care at the end of life. Key ResponsibilitiesLeadership & Clinical Oversight Lead the development, implementation, and annual review of clinical protocols, procedures, and nursing standards. Monitor clinical competencies and compliance with nursing processes and JCAHO standards. Serve as a clinical resource and role model in hospice nursing care. Education & Staff Development Plan and implement educational opportunities for hospice team members. Ensure continued professional development and education, including tracking CEUs and certifications. Facilitate monthly staff meetings in collaboration with Unit Directors. Strategic Planning & Performance Improvement Develop and evaluate annual departmental goals aligned with the hospital's business plan. Coordinate performance improvement activities and report outcomes to staff and leadership. Identify deficiencies and implement action plans with the Unit Director or Vice President. Budgeting & Financial Management Assist in the development of the departmental budget. Review and analyze monthly budget variances, providing justifications and recommendations. Staffing & Scheduling Coordinate and prepare work schedules in a timely, efficient manner. Review daily staffing levels and make necessary adjustments. Demonstrate schedule flexibility to meet patient and unit needs. Human Resources & Team Management Partner with Unit Directors to apply consistent and fair disciplinary processes. Participate in interviewing and hiring new team members. Foster a collaborative, supportive, and professional work environment. Communication & Collaboration Collaborate effectively with colleagues, physicians, patients, and families. Utilize proper communication channels to address and resolve issues. Develop inter- and intra-departmental relationships to support optimal patient and staff outcomes. Qualifications • Required: - Current Maryland RN License - AHA BLS Provider Certification - 5-7 years of nursing experience (preferably with hospice or inpatient experience) • Preferred: Certification in specialty area (e.g., RNC, CCRN, CNOR) Membership in at least one professional nursing organization 25+ contact hours of continuing education annually Why Join Us? Competitive compensation package Comprehensive benefits Generous paid time off Opportunities for professional development Supportive leadership and interdisciplinary teams Additional Information Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. Why LifeBridge Health? With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: Apply Now Keywords: Nurse Manager, Hospice Care, Inpatient Hospice, Clinical Leadership, Staff Development, Patient Care, Budget Management, Healthcare Compliance, End-of-Life Care, Performance Improvement
    $79k-100k yearly est. 2d ago
  • Case Manager- Lead

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    On a daily basis the Case Manager Team Lead will ensure safe, timely and appropriate provision of services. Coaches team members to problem solve cases to optimize patients' health, reduce unnecessary care and limit healthcare spending. Monitors team member documentation and data collection to ensure complete, accurate and compliant records. Works collaboratively with the Population Health management team, as well as internal and external stakeholders. May interact with patients or customers ranging in age from infant to geriatric. Position requires coverage on holidays and on back- up call system on weekends. Company Description University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience. A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education. Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County. University of Maryland Upper Chesapeake Health owns and operates: Upper Chesapeake Medical Center (UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, Bel Air, MD The Patricia D. and M. Scot Kaufman Cancer Center, Bel Air, MD The Senator Bob Hooper House, Forest Hill, MD Qualifications Education & Training: Current RN license required OR Current Social work license LMSW, LCSW, LCSW-C required. Associate's degree or diploma in nursing OR Master's in Social Work degree required. Bachelors of Science in Nursing preferred. Work Orientation & Experience: Two years of experience in Case Management and understanding of Utilization Management preferably in an acute care setting required. Skills & Abilities: Demonstrate skill in a) clinical case management; b) data analysis; c) effective critical thinking; d) written and oral communications; and e) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult). Demonstrate knowledge of a) acute care criteria and b) case management principles. Demonstrate ability to a) communicate and collaborate effectively with both internal and external customers (colleagues, Medical Staff, liaisons, and patient/family); b) assess, adapt, and calmly respond to changing and/or crisis environment; c) make independent decisions consistent with current policies, procedures, and ethical standards; d) prioritize work assignments and manage time effectively to complete duties; and e) be available to adapt hours to meet the needs of all customers. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: * Pay Range: $44.76-$67.19 * Other Compensation (if applicable): * Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $44.8-67.2 hourly 48d ago
  • Complex Case Manager

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    JOB SUMMARY: Collaborates with members of the healthcare team, community resources, and with the patient/patient family to promote optimal outcomes for the patient across the continuum of care. Maintains a smaller caseload that requires increased attention and intensive care coordination due to complex social dynamics, legal involvement and connection with DSS/DDA. Formulates unique solutions to complex discharge planning issues (thinking outside the box). Assists with navigating through barriers that may be preventing the safe disposition of patients. This position is goal oriented with a high level of accountability correlated to the continuum of care, quality of care and patient satisfaction. Supports the success of the care coordination of this patient population with a high degree of professionalism and expertise. Company Description University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience. A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education. Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County. University of Maryland Upper Chesapeake Health owns and operates: University of Maryland Harford Memorial Hospital (UM HMH), Havre de Grace, MD University of Maryland Upper Chesapeake Medical Center (UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, Bel Air, MD The Patricia D. and M. Scot Kaufman Cancer Center, Bel Air, MD The Senator Bob Hooper House, Forest Hill, MD Qualifications Education & Training: Maryland Social Work licensure LMSW or LCSW level required or Maryland licensed RN, Bachelors preferred. Work Orientation & Experience: Minimum of 3 years of relevant hospital case management experience. Acute care social work or nursing experience required. Knowledge of Case Management, Critical Pathways, and Utilization Management preferred. The applicant may require up to three months of detailed job orientation and training to gain specific capabilities to perform essential job functions Skills & Abilities: Demonstrate skill in: a) effective critical thinking; b) written and verbal communications; c) prioritize work assignments and manage time effectively to complete duties; d) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult); e) Demonstrate knowledge of Medicare and Medicaid regulations and documentation f) Uses case management principles; g) assess, adapt, and calmly respond to changing and/or crisis environment; h) make independent decisions consistent with current policies, procedures, health care and ethical standards; and i) be available to adapt hours to meet the needs of all customers Additional Information All your information will be kept confidential according to EEO guidelines. Compensation * Pay Range: $42.64- $64 * Other Compensation (if applicable): n/a Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $42.6-64 hourly 60d+ ago
  • Case Manager II

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    When we say “our community” we mean it. UMMC Midtown Campus, one of two campuses of the University of Maryland Medical Center, has had a long history of working to keep our community healthy and has grown to become a trusted teaching hospital for medical and surgical care in Baltimore City. Located in Baltimore's cultural center near the historic Mount Vernon neighborhood, UMMC Midtown Campus is a 180-bed, community teaching hospital with a focus on helping people manage chronic diseases, including diabetes, hypertension, pulmonary conditions, and infectious diseases. Job Description Work Schedule: M-F 7a-7p with potential for weekend rotation based on department need. Licensure as a Registered Nurse is REQUIRED 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. II. Principal Responsibilities and Tasks 1. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. • Assesses assigned patients and integrates psycho social 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 Qualifications III. Education and Experience 1. Licensure as a Registered Nurse or other equivalent health care license in the state of Maryland Required. 2. A minimum of 12 months of experience as a case manager is required. IV. Knowledge, Skills and Abilities 1. Knowledge of managed care, discharge planning and case management is required. 2. Highly effective verbal and written skills are required. 3. Strong communication skills, self confidence and experience dealing physicians required. 4. Excellent analytical and team building skills, as well as the ability to prioritize and work independently is required. 5. Must possess the ability to work collaboratively with other disciplines. 6. Ability to work with Hospital/Case Management related software programs required. 7. 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. V. Patient Safety Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. 1. Takes action to correct observed risks to patient safety. 2. Reports adverse events and near misses to appropriate management authority. 3. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $35.08-$52.64 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $35.1-52.6 hourly 8d ago
  • Case Manager I, $10k Sign-On Bonus

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    Renowned as the academic flagship of the University of Maryland Medical System, our Magnet -designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work! Job Description Full Time, Work Schedule 8:00-16:30 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 Qualifications Licensure as a Registered Nurse or equivalent health care license in the state of Maryland required. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $32.44 - $50.13 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $32.4-50.1 hourly 10d ago
  • Case Manager I, $10k Sign-On Bonus

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    Renowned as the academic flagship of the University of Maryland Medical System, our Magnet -designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work! Job Description Full Time, Work Schedule 8:00-16:30 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 Qualifications Licensure as a Registered Nurse or equivalent health care license in the state of Maryland required. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $32.44 - $50.13 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $32.4-50.1 hourly 10d ago
  • Case Manager I, $10k Sign-On Bonus

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    Full Time, Work Schedule 8:00-16:30 * 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 Company Description Renowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work! Qualifications * Licensure as a Registered Nurse or equivalent health care license in the state of Maryland required. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: * Pay Range: $32.44 - $50.13 * Other Compensation (if applicable): * Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $32.4-50.1 hourly 9d ago
  • Nurse Case Manager PRN

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience. A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education. Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County. University of Maryland Upper Chesapeake Health owns and operates: University of Maryland Upper Chesapeake Medical Center (UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, Bel Air, MD The Patricia D. and M. Scot Kaufman Cancer Center, Bel Air, MD The Senator Bob Hooper House, Forest Hill, MD Job Description JOB SUMMARY: Provides Care Coordination and discharge planning services for all inpatients accessing care through the Univ. of Md. Upper Chesapeake Health. Completes psychosocial assessments, assists with treatment planning, monitors patient progress, facilitates patient and family meetings, and coordinates and implements discharge services. Screens patients to identify anticipated needs, interacts with patients and families, so that a safe and timely care plan is achieved. Coordinates and implements discharge and post-acute services for inpatient caseload. Position requires some coverage of holiday and weekend shifts. May interact with clients or customers ranging in age from newborn to geriatric. Qualifications Education & Training: Currently licensed as an RN in the State of Maryland. Associate's degree or diploma in Nursing required. Completion of a Bachelor's of Science degree in Nursing preferred. Work Orientation & Experience: Acute care nursing experience required. Inpatient or Outpatient care experience required. Case Management experience preferred. Skills & Abilities: Demonstrate skill in a) clinical case management; b) performing complete assessments; c) effective critical thinking skills both written and oral; and d) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult.) Ability to a) communicate and collaborate effectively with both internal and external customers (colleagues, Medical Staff, liaisons, and patient/family); b) assess, adapt, and calmly respond to changing and/or crisis environment; c) make independent decisions consistent with current policies, procedures, and ethical standards; d) prioritize work assignments and manage time effectively to complete duties; and e) assist in data analysis. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $42.64 - $64.00 Other Compensation (if applicable): n/a Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $42.6-64 hourly 42d ago
  • RN Case Manager - Relocation Offered!

    Medstar Health 4.4company rating

    Rosedale, MD jobs

    About this Job: Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the organization. Responsible for carrying a complex case management case load ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Actively develops and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines and the District of Columbia Contract. Acts as a liaison to MedStar Family Choice contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care. Acts as an advocate while assisting members/enrollees to coordinate and gain access to medical psychiatric psychosocial and other essential services to meet their healthcare needs. Authorizes and monitors covered services according to policy. Assists hospital case management staff with discharge planning if applicable. Makes recommendation to alternate tier of Case Management programs or level of care as acuity necessitate. Attends and participates in MFC staff meetings Clinical Operations department meetings Special Needs Forums work groups District/ community agencies meetings etc. as assigned. Provides input completes assignments and shares new findings with other staff. Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Provides face to face case management in the community as the member/enrollee's health necessitate. Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy. Demonstrates skill and flexibility in providing coverage for other staff. For assigned Case Management program(s) develops strategies assessment(s) and evaluation/goal tools according to NCQA standards/ guidelines and District of Columbia Contract for the population served. Utilizes standards/ guidelines to manage and document interactions for the program (s). Responsible for verifying that assigned program utilizes up-to-date standards in the medical and behavioral health community for the population served. Keeps informed about disease processes treatment modalities and resources. Identifies and reports potential coordination of benefits subrogation third party liability worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel. Identifies inpatients requiring additional services and initiates care with appropriate practitioners. Maintains current knowledge of MFC benefits and enrollment issues in order to accurately coordinate services. Maintains timely and accurate documentation in the clinical software system per Clinical Operation department's policy. Monitors utilization of all services for fraud waste and abuse. Performs telephonic ACD line coverage for Clinical Operations' needs. Enters authorization as appropriate to the program and sends the reviews to Medical Director as appropriate. Coordinates review decisions and notifications per policy NCQA standards/ guidelines and District of Columbia Contract for timely decision making. Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams. Minimal Qualifications Education Graduate of an accredited School of Nursing required and Bachelor's degree preferred Experience 1-2 years Case management experience required and 1-2 years UM or related experience required and 3-4 years Diverse clinical experience required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the District of Columbia and/or the State of Maryland based on work location(s) Upon Hire required and CCM - Certified Case Manager Upon Hire preferred Knowledge Skills and Abilities Verbal and written communication skills. Ability to use computer to enter and retrieve data. Ability to create edit and analyze Microsoft office (Word Excel and PowerPoint) preferred. This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr.
    $89.1k-162.8k yearly 15h ago
  • RN Case Manager OH - Relocation Offered!

    Medstar Health 4.4company rating

    Baltimore, MD jobs

    About this Job: Provides nursing care preventive health information and guidance through a comprehensive program that includes first aid care and assistance to associates who become ill or are injured at work and hospital-wide immunizations to prevent spread of communicable diseases. Monitors associates' health to protect patients and associates and to prevent injury and illness. Serves as clinical liaison between associates physicians other care-givers insurance companies/administrators for Worker's Compensation and temporary modified duty program. Works collaboratively with the Occupational Health Team. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Accurately documents all data into the associate electronic medical record (OHM). Accesses documents in other appropriate databases. Provides timely and complete data entry and includes all required information based on Occupational Health practice standards. Collaborates with NP/PA Risk Management WC TPA and medical providers to monitor the progress of case management in terms of established outcomes to coordinate treatment plan ensure appropriate referrals and authorizations are obtained and optimum care and case management is achieved. Develops plans recommends and helps implement wellness programs to improve the health and work-life balance of associates. Implements health compliance programs required for hospital workers as identified by federal state and policy guidelines. Programs include but are not limited to: mandatory influenza program N95 fit testing hearing conservation TB testing and vaccination requirements. Liaises with entities/departments to evaluate the safety of the workplace and collaborates with managers in injury prevention measures and departmental action planning. Manages the temporary modified duty program to ensure safe and timely return to work. Evaluates associates' ability to return to work full-duty or in modified work capacity after an extended absence. Assesses work capability given reason for absence and job responsibilities. Consults with NP/PA as needed. Performs assessment of associates reporting work injuries not requiring treatment or follow-up. Provides appropriate first aid and report review. Performs pre-employment physical to determine the ability of the individual to perform the job for which they are applying. Screens for infectious disease symptoms serious medical conditions or disabilities (except DC). Counsels individual patients regarding exam findings abnormal lab results the appropriate follow-up any implications for personal health and the impact on job performance. Consults with NP/PA as needed. Prepares and administers medications including vaccinations and tuberculosis skin testing according to department policy/procedure. Manages medication and medical supply inventory. Orders supplies based on need and appropriate par levels in a fiscally responsible manner. Provides exposure follow-up including appropriate labwork first aid and/or prophylaxis administration. Provides necessary exposure counseling and inform associate of necessary exposure follow-up. Consults with NP/PA as needed. Provides oversight and compliance tracking for mandatory substance abuse monitoring with NP/PA as needed. Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams. Minimal Qualifications Education Bachelor's degree or comparable experience required and BSN preferred Experience 3-4 years Nursing experience required and 1-2 years Occupational health experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the State of Maryland or DC required and COHN - Certified Occupational Health Nurse preferred and CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and Additional unit/specialty certifications may vary by department or business unit. Knowledge Skills and Abilities Good physical assessment skills triage and first aid skills. Understanding of workers compensation and OSHA regulations. Good patient education skills. Strong communication skills and intermediate computer skills. This position has a hiring range of : USD $74,214.00 - USD $134,596.00 /Yr.
    $74.2k-134.6k yearly Auto-Apply 1d ago
  • RN - Case Manager

    Medstar Franklin Square Medical Center 4.4company rating

    Rosedale, MD jobs

    American Medical Staffing (AMS) is currently seeking a RN - Case Manager for a Hospital contract assignment. Setting: Hospital Pay: Competitive, negotiable, with weekly pay Schedule: 8-Hour Days, 07:00:00-15:00:00, 8.00-5 Contract Length: 91 Candidate Type: Local or Travel Requirements: Qualified applicants MUST have at least years of experience in the Case Manager specialty, have a valid RN license, and be willing to obtain Maryland or Compact licensure. Job Overview As a clinician in the hospital setting, you will play a crucial role in delivering specialized care to patients across a variety of acute and subacute units. You will work closely with a multidisciplinary team of healthcare professionals to provide comprehensive and compassionate care. Responsibilities include monitoring patient conditions, administering treatments, documenting outcomes, and advocating for the best possible patient experience. Your expertise will help support recovery, safety, and continuity of care. Why Choose American Medical Staffing? Day-One Benefits: Medical, dental, and vision plans with no waiting period. Wellness PTO: Build 1 or 2 weeks of paid time off into your contract. Hotel Discounts: Save up to 60% on hotel bookings with access to 700,000+ discounted properties. Loyalty Program: Earn financial incentives automatically based on hours worked and assignment type. Referral Program: $500 for you and $500 for each referral after 450 hours-no limits. Working Advantage: Access exclusive discounts on retail, entertainment, and travel. Scrub Discount: 20% off all scrubs through our customized AMS store. Retirement Plans: 401(k) options to help you plan for the future. Compliance & Credentialing Support: Let us handle the logistics so you can focus on patient care. Apply now to take the next step in your journey. Equal Opportunity Employer: American Medical Staffing is an Equal Employment Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, age, or any other non-merit factor.
    $63k-86k yearly est. 60d+ ago
  • Registered Nurse Case Manager, Population Health

    University of Maryland Medical System 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    Join a Team That's Making a Difference in Health Outcomes. At the University of Maryland Medical System (UMMS), we are committed to helping individuals and communities manage their health with compassion, innovation, and excellence. Our work extends beyond clinical care to support long-term wellness and improve health outcomes across the populations we serve. We are looking for passionate professionals who are inspired to make a meaningful impact in healthcare while enjoying the flexibility of a hybrid work environment that promotes work-life balance. If you're driven by a mission to improve lives and want to be part of a collaborative, forward-thinking team, UMMS is the place for you. 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 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. 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. Assists the Primary Care Physician to ensure the client's medical needs are met in the most efficient, cost- effective manner. 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 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. 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 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-paced 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. Compensation: Pay Range: $35.08 - $52.64 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide .Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
    $35.1-52.6 hourly 12d ago
  • JHH RN Case Manager (Intrastaff)

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a large organization. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians, and allied health professionals in the world. Directly or indirectly, you'll have exposure to cutting-edge technology and groundbreaking medical research. In collaboration with patients/families, social workers, physicians and the interdisciplinary team, the Case Manager provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate optimal transitions and progression in care. The Case Manager manages clinical resources and transition planning for patients within an assigned caseload from pre-admission through post-discharge, actively working to identify/ eliminate barriers to the delivery of clinical services with the patient, family and care team. * Develops a sustainable, safe transition plan appropriate to the patients' needs and resources in collaboration with the patient/family and interdisciplinary care team. * Maintains knowledge of and responds to clinical system and fiscal data related to specific patient populations. * Completes an initial screen of all assigned patients to identify readmission risks, patient strengths and needs related to clinical resource utilization and transition planning; initiates, completes and documents transition planning for patients in assigned caseload. * Collaborates with members of the health care team to ensure the multidisciplinary plan of care is developed, followed, modified as needed and coordinates the delivery of clinical services in order to ensure that the patient's clinical, quality and cost outcomes are met; strategizes with physicians, specialists and payors to develop appropriate care delivery strategies for assigned patients. * Functions as a consultant to health care team members with clinical, research and system problems within the specialty area educating physicians about managed care principles, discharge planning, reimbursement, levels of care and the continuum of care. * Coordinates and leads multidisciplinary rounds. * Identifies high risk patient behaviors, high risk diagnosis, social determinates of health and works to decrease the risk of readmission while improving quality outcomes for the patients. * Collaborates with the community-based case managers and directly communicates verbal and/or written handoff to those providers to facilitate continuity of care. * Maintains appropriate documentation in the medical record and care management files. * Identifies indicators and collects and evaluates data related to case managed population. * Leads the development, evaluation and revision of critical paths, analyzing and utilizing aggregate variances and trends to improve clinical, quality and fiscal outcomes. * Attends and participates in relevant committee meetings such as Joint Practice Committee, barrier meetings/long stay review, length of stay reduction work groups, staff meetings. * Attends and participates in committee meetings and departmental change initiatives. * Educates patients/families to optimize their independence in self-care to ensure better quality outcomes for the patients. * Other duties as assigned. Education: * Completion of an accredited BSN Nursing Program (RN). Master of Science in Nursing (MSN) preferred. Knowledge, Skills, and Abilities: * Ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations with ability to form and maintain positive, collaborative relationships with hospital staff, patients, families, post-acute providers and payers. * Ability to effectively problem solve in a proactive, creative manner, using judgment based on clinical knowledge. * Ability to function effectively in a fluid, dynamic, and rapidly changing environment. * Business acumen so that health benefits and patient/ provider satisfaction are maximized while solidifying the program's viability through cost effective intervention. * Proficiency with an electronic patient record, email, general office and communications equipment. Required Licensure, Certification, On-going Training: * Valid Maryland Nursing License required * Accredited Case Manager i.e. - Registered Nurse (ACM - RN) / Certified Case Manager (CCM) preferred Work Experience: * Minimum five to seven years of previous nursing experience required * Minimum of one-year in case management, discharge planning, or utilization review Oncology/Med Surg positions available Rate: $55/hr Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
    $55 hourly 60d+ ago
  • RN Case Manager - Cardiac Med/Surg

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    Make it happen at Hopkins! Johns Hopkins Medicine, a nonprofit, combines over 125 years of commitment to community care with groundbreaking research, teaching and medical services to patients worldwide. Johns Hopkins Medicine operates six academic and community hospitals, four health care and surgery centers, more than six ambulatory surgery centers and has more than 2.8 million outpatient encounters per year. What you will do: In collaboration with patients/families, social workers, physicians and the interdisciplinary team, the Case Manager provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate optimal transitions and progression in care. The Case Manager manages clinical resources and transition planning for patients within an assigned caseload from pre-admission through post-discharge, actively working to identify/ eliminate barriers to the delivery of clinical services with the patient, family and care team. What awaits you: Click or copy and paste this link to learn how Johns Hopkins nurses are making a difference. ********************************** FQKLJ_B-U You can enjoy an environment that is continually recognized as one of the best workplaces in the world. In addition to working with some of the best and brightest in the medical field, we offer our employees generous benefits: Work-life balance Medical, Dental, and Vision Insurance 403B Savings Plan w/employer contribution Paid Time off & Paid holidays. Employee and Dependent Tuition assistance benefits. Health and wellness programs and MORE! What you will bring: Completion of an accredited RN Nursing Program; BSN preferred One year of RN experience required; cardiac experience highly preferred Preferred experience in case management, discharge planning or utilization review Valid Maryland Nursing License required Active BLS CPR is required Salary Range: Minimum 42.34/hour - Maximum 65.62/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $69k-94k yearly est. 60d+ ago
  • Utilization Review Nurse (RN)

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    Work Schedule * 8:00am - 4:30pm - Full time hybrid position with weekend rotation required. The Utilization Review Nurse (RN) coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The Utilization Review Nurse (RN) assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients' treatment and transitional needs. Company Description When you come to the University of Maryland St. Joseph Medical Center, you're coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You're embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you'll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade 'A' hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we've been consistently recognized as a top employer by Baltimore magazine. Qualifications Education * * 2 year / Associate's Degree (Required) * * High School Diploma or GED (Required) 4 year / Bachelor's Degree (Preferred) Certification / Licensure / Registration * *State Registered Nurse License (Required) * MCG Or InterQual experience (Preferred) * CCM Case Management Certification (Preferred) Experience and Skills * *2 - 4 years Familiarity with health care reimbursement systems (Required) * *4 - 6 years Acute care hospital or similar venue. (Required) 2 - 4 years Case management, discharge planning or utilization management (Preferred) Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excellent Interpersonal Skills, Medical Terminology Additional Information .All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $39.52 - $50.65 Other Compensation (if applicable): N/A Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $39.5-50.7 hourly 36d ago
  • Medical Oncology Nurse Coordinator/Nurse Navigator

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Nurse case manager job at University of Maryland Medical System

    Stoler Outpatient Clinic at UMMC Full-Time /DAY Baltimore, MD Come elevate your skills and experience by working with a world class 800-bed, Magnet designated Academic Medical Center. We are looking for talented professionals to join our team at the University of Maryland Medical Center. As a Team Member at UMMC, you'll experience: * A supportive and collaborative work environment * A comprehensive benefits package including health, vision and dental coverage including prescription drug coverage, Tax-Free Savings Plans and more! * A highly competitive wage scale: Annual merit increases and a base wage scale that is measured against to market standards. * Generous tuition reimbursement of up to $5,000 per year for your graduate degree. * Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work! This role is considered the minimum role for all nurses at UMMC who have greater than 12 months experience. This nurse will be competent in the skills/knowledge required and fully participate in nursing governance. He/she will practice and adhere to the guidelines specified in the UMMC Professional Nurse Job Charter. Under general supervision and with attending physician input, the incumbent is responsible for coordinating, managing and communicating the plan of treatment to patients and their families. Specifically, the incumbent assists in communications with patients; triages patients and patient issues, performs symptom management, and teaches patients regarding their disease process and treatment. In addition, the nurse coordinator collaborates with the multi-disciplinary team and utilizes clinical outcomes data to support innovative and cost-effective changes to clinical practice. Is accountable to patients and families for the processes and outcomes of care during an episode of care. Is accountable to peers for the advancement of group practice on the practice setting, and to the nurse manager for the totality of work performance. This nurse will be competent in the skills/knowledge required and fully participate in practice setting governance. He/she will practice and adhere to the guidelines specified in the UMMC Professional Nurse Job Charter. These functions are performed in accordance with all applicable laws and regulations and UMMS philosophy, policies, procedures and standards. Company Description THE MEDICAL HEART OF MARYLAND Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland's health care system and community. We're known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible. The R Adams Cowley Shock Trauma Center, the world's first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate. We also have one of the nation's largest kidney and pancreas transplant programs at The Joseph and Corinne Schwartz Division of Transplantation, home to Maryland's first steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland's Children's Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives. Qualifications * 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. Up-to-date status on all mandatory training and classes. * 2. Bachelor's degree required. BSN required for hires after July 1, 2008. * 3. One year nursing experience required, ambulatory/outpatient experience or population specific experience preferred. Solid knowledge and clinical skills. * 4. Current CPR certification required. * 5. Maintenance of 10 contact hours of education every two years or 5 per year. * 6. Member of a professional organization. * 7. Recent applicable clinical experience in a comparable setting. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: * Pay Range: $37.00 - $54.18 * Other Compensation (if applicable): * Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at ****************.
    $37-54.2 hourly 13d ago

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