Manager of Care Management, Population Health

University of Maryland Medical System•Linthicum Heights, MD

About The Position

The Manager of Care Management, Population Health directs and oversees the day-to-day operations, clinical practice, and performance of one or more ambulatory care management teams. The manager ensures the delivery of high-quality, patient-centered case management services through assessment, care planning, care coordination, utilization management, and transitions of care. This role leads the development and implementation of operational, quality, and population health programs and initiatives to promote positive patient outcomes, regulatory compliance, health equity, effective resource utilization, and value-based care performance. Responsibilities include staff leadership and development, performance management, budgeting, resource oversight, and process improvement. The manager collaborates with organizational leaders, physicians, nursing and operational leaders, community partners, and interdisciplinary teams to advance care management strategies and organizational goals. The role also represents care management in committees, strategic initiatives, accreditation activities, and professional development programs.

Requirements

Bachelor's degree in Nursing or a master's degree in Nursing, Health Administration, Public Health, or a related healthcare field.
Seven years of progressive care management, case management, utilization management, care coordination, or related healthcare experience; five years are accepted if the job start date is before 2027.
Two years of experience with staff supervision, performance management, operational oversight, project leadership, or program management.
Current Maryland unrestricted licensure as a Registered Nurse (RN) or Physical Therapist (PT).

Nice To Haves

Experience in Population Health or an Accountable Care Organization.
Current care management certification, such as Accredited Case Manager (ACM), Certified Case Manager (CCM), Certified Managed Care Nurse (CMCN), or another relevant specialty certification.
Lean, Six Sigma, Project Management, or other quality/performance improvement certification.
Previous leadership experience in care management, utilization management, population health, or a related healthcare setting.
Previous experience leading quality improvement, regulatory compliance, or operational excellence initiatives.
Active participation in professional organizations, committees, or healthcare leadership activities.

Responsibilities

Direct and oversee the daily operations of one or more ambulatory care management teams, including assessment, care planning, care coordination, utilization management, and transitions of care.
Lead, develop, and manage care management staff through recruitment, onboarding, scheduling, performance evaluation, competency assessment, coaching, and performance management.
Establish and monitor department performance goals, productivity standards, and key performance indicators supporting quality, operational, financial, and patient outcome objectives.
Ensure compliance with regulatory, accreditation, payer, and organizational requirements, including case management standards of practice, documentation expectations, and quality measures.
Develop, implement, and evaluate care management programs, workflows, and initiatives to improve population health outcomes, resource utilization, patient experience, and value-based care performance.
Lead quality improvement and patient safety initiatives by analyzing performance data, identifying improvement opportunities, and implementing corrective actions.
Promote health equity and address social determinants of health through strategies that improve access to care, reduce barriers, and support patient outcomes.
Manage departmental resources and budgetary performance through staffing, workload management, and oversight of operational expenditures.
Collaborate with physicians, nursing leaders, operational leaders, community partners, and interdisciplinary teams to advance care management strategies and organizational goals.
Represent care management services in departmental, organizational, and system committees, strategic initiatives, accreditation activities, and professional development programs.