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Healthcare that feels personal, because it is. Celebrating 30 years of physician-owned, trusted care in Central Maryland
Care Manager, RN
Location
Maryland
Posted
30 days ago
Salary
$88K - $97K / year
Seniority
Mid Level
Job Description
Care Manager, RN
Maryland Primary Care Physicians
• Assists in developing, maintaining, and monitoring processes to promote the timely identification and assessment of high risk and special needs members. • Serves as an interdisciplinary team member in management of identified members, performing clinical/social determinants of health assessments and in collaboration with physicians, determining medical needs. • Conducts telephone or face-to-face interviews of members to identify risk factors and the need for care management. • Fosters professional networks and relationships with service and resource providers to promote continuity and quality of care for members. • Initiates, develops, plans, and implements care plans designed to promote the delivery of quality care and service to members with identified CM needs. • Utilizes clinical judgment to discharge members from care management according to plan policies and procedures. • Maintains care management records according to plan policies and procedures and ensures data integrity in health plan information systems. • Collects, evaluates, and reports clinical, functional and program activity as applicable. • Educates members' medical providers regarding the members' special needs to ensure consideration to the unique needs of the patients in treatment planning. • Coordinates and communicates with community support and social service systems for members. • Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration. • Assists with special projects to meet plan and departmental goals.
Job Requirements
- Registered Nurse with current state license
- Must have experience helping members using community agencies
- 2 years of managed care experience preferred
- Experience with pediatrics, NICU, postpartum, or maternal health is required
- Registered Nurse with BSN preferred
Benefits
- medical, dental, and vision plans
- 100% employer Term Life Insurance
- Short and Long-Term Disability
- 401k Employer Match up to 4%
- 20 days of PTO
- tuition assistance/professional development plans
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