Case Manager - Population Health (Eastern Shore)
Facility: University of Maryland Medical System
Employment Type: Full Time
Location: Easton, MD Shift/Schedule: DAY
Department: CRP: PHSO LUMERIS
Posted FTE: 1
Job Posting Category: Nursing
Hours of Work: M-F, 8a-4p
Job ID #: 43631
Benefits Eligible: Yes
Minimum Education: MD licensed RN; BSN preferred
License/Cert Required: Not Indicated
Minimum Experience: 3-5 yrs care coordination or O/P ambulatory exp.
Specialty Type: Not Applicable
What You Will Do:
The The University of Maryland Medical System (UMMS) is a 12-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the support, or the opportunities for professional growth that you’ll enjoy as a member of our team.
UMMS is currently seeking a Case Manager for our 2016 Population Health Initiatives to work with our Physician Community on the Eastern Shore. *** Maryland licensed RN; Bachelors preferred and 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting is REQUIRED**
General Summary
Under supervision of the Case Management Lead, 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
1. 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.
a) 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.
b) 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
c) Develop a detailed plan of action to meet these needs, set goals, and find necessary resources to meet the goals
d) Implement Case Management interventions with the goal to optimize the patient’s health status
e) Document appropriately in patient medical records and/or care management application
f) Maintain HIPAA standards and ensure confidentiality of protected health information
g) Work collaboratively with physicians and clinical and administrative leadership to design and implement case/disease-management protocols
2. Be attentive to detail to maintain accurate and timely data exchanges among all entities involved in the patients’ care
3. Consult with other external agencies to provide support services and resources
4. Communicate effectively with patients, physicians, and their staff on a regular basis.
Location will be based on the Eastern Shore
~CB
*LI-AB1
What You Need to Be Successful:
1. Maryland licensed RN Required Bachelors preferred
2. Three to Five years of care coordination experience and/or experience working in an outpatient ambulatory setting
3. Experience with educating patients and patient goal setting (essential)
4. Case Management Certification (preferred)
5. Experience in a manage care information environment (preferred)
Knowledge, Skills and Abilities
1. Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Facility: University of Maryland Medical System
Employment Type: Full Time
Location: Easton, MD Shift/Schedule: DAY
Department: CRP: PHSO LUMERIS
Posted FTE: 1
Job Posting Category: Nursing
Hours of Work: M-F, 8a-4p
Job ID #: 43631
Benefits Eligible: Yes
Minimum Education: MD licensed RN; BSN preferred
License/Cert Required: Not Indicated
Minimum Experience: 3-5 yrs care coordination or O/P ambulatory exp.
Specialty Type: Not Applicable
What You Will Do:
The The University of Maryland Medical System (UMMS) is a 12-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the support, or the opportunities for professional growth that you’ll enjoy as a member of our team.
UMMS is currently seeking a Case Manager for our 2016 Population Health Initiatives to work with our Physician Community on the Eastern Shore. *** Maryland licensed RN; Bachelors preferred and 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting is REQUIRED**
General Summary
Under supervision of the Case Management Lead, 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
1. 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.
a) 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.
b) 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
c) Develop a detailed plan of action to meet these needs, set goals, and find necessary resources to meet the goals
d) Implement Case Management interventions with the goal to optimize the patient’s health status
e) Document appropriately in patient medical records and/or care management application
f) Maintain HIPAA standards and ensure confidentiality of protected health information
g) Work collaboratively with physicians and clinical and administrative leadership to design and implement case/disease-management protocols
2. Be attentive to detail to maintain accurate and timely data exchanges among all entities involved in the patients’ care
3. Consult with other external agencies to provide support services and resources
4. Communicate effectively with patients, physicians, and their staff on a regular basis.
Location will be based on the Eastern Shore
~CB
*LI-AB1
What You Need to Be Successful:
1. Maryland licensed RN Required Bachelors preferred
2. Three to Five years of care coordination experience and/or experience working in an outpatient ambulatory setting
3. Experience with educating patients and patient goal setting (essential)
4. Case Management Certification (preferred)
5. Experience in a manage care information environment (preferred)
Knowledge, Skills and Abilities
1. Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
