Case Manager I

University of Maryland Medical System•Bel Air, MD
•$39 - $58•Onsite

About The Position

Delivers patient-centered care management through comprehensive assessment, individualized care planning, care coordination, and ongoing monitoring of patient needs. Facilitates communication among patients, caregivers, healthcare providers, and community resources to support safe and effective transitions across the continuum of care. Assists patients in navigating healthcare services, available resources, and financial considerations while identifying and addressing barriers to care and promoting self-management. Maintains accurate documentation, ensures compliance with regulatory and organizational requirements, and collaborates with interdisciplinary teams to support quality care and positive health outcomes. The listed responsibilities describe the general nature and level of work for this classification and are not an exhaustive list.

Requirements

  • Associate degree in Nursing or bachelor's degree in a health-related field.
  • Current, unrestricted Maryland licensure as a Registered Nurse (RN), Physical Therapist (PT), or Social Worker (SW).
  • One year of healthcare, care coordination, case management, social work, utilization management, or related experience.
  • Knowledge of care management principles, discharge planning, and transitions of care.
  • Knowledge of community resources, healthcare benefits, and patient support programs.
  • Knowledge of applicable regulatory and documentation requirements.
  • Skills in comprehensive patient assessment, care plan development and implementation, patient and caregiver education, documentation, care coordination, and interdisciplinary communication and collaboration.
  • Ability to identify patient risks, barriers, and resource needs; coordinate services across multiple care settings; prioritize competing patient needs and workload demands; and build effective relationships with patients, families, and healthcare teams.
  • Must work onsite; the position is not remote.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) or another related healthcare field.
  • Three years of relevant healthcare or case management experience.
  • Active membership in a relevant professional organization, such as ACMA, CMSA, CCMC, ANA, or NASW.
  • Experience in an acute care, managed care, ambulatory, or population health environment.
  • Specialty certification in case management, utilization management, discharge planning, or a related specialty.

Responsibilities

  • Conduct comprehensive assessments of patients' clinical, psychosocial, functional, financial, and support needs to identify risks, barriers, and opportunities for intervention.
  • Develop, implement, and monitor individualized care plans that align with patient goals, clinical needs, and evidence-based practices.
  • Coordinate services and resources across the continuum of care to ensure timely access to appropriate treatments and support services.
  • Facilitate safe and effective transitions between care settings, ensuring coordination of a safe discharge plan and follow-up care.
  • Educate and engage patients and caregivers to support informed decision-making, self-management, and achievement of health goals.
  • Assist patients in navigating healthcare benefits, community resources, financial assistance programs, and other available services.
  • Maintain accurate, timely, and compliant documentation in accordance with regulatory, accreditation, and organizational requirements.
  • Collaborate with interdisciplinary teams to improve care coordination, patient outcomes, and operational effectiveness.
  • Participate in quality improvement initiatives and professional development activities to maintain current knowledge and skills.
  • Perform all other duties as assigned.

Benefits

  • UMMS Benefits Guide is referenced; specific benefits are not listed.
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