University of Maryland Medical System
Care Manager, (RN)
University of Maryland Medical System, Towson, Maryland, United States, 21286
Company Overview
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.
Job Summary The Care Manager 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 Care Manager assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients’ treatment and transitional needs.
Responsibilities
Collaborate with physicians and other health care professionals to promote appropriate use of medical center resources.
Provide physicians and ancillary departments with data on treatment outcomes and avoidable delays to promote highest quality care.
Communicate and negotiate with outside agencies, including insurance carriers, in order to obtain needed services for patients and accurate reimbursement for medical center.
Work with interdisciplinary team to coordinate needed services to ensure efficient continuity of care.
Use severity of illness/intensity of services indexes to determine appropriateness of admissions, transfer and continued stays.
Document actions in medical record according to departmental guidelines and oversee process of exchange of information with other facilities/ agencies adhering to legal mandates regarding confidentiality.
Measure effectiveness of interventions through direct communication with patients and caregivers and data collection of defined indicators (e.g. overall length of stay, readmission rates, feedback from referral services, etc.).
Plan for care needs with active involvement of patient, significant others and hospital staff involved in treatment process.
Oversee implementation of transition plans with support from internal and external agents.
Monitor patients’ progress and adequacy of planning process through regular communications with patients and service providers.
Provide information and support to patients and families, helping them access needed resources within the medical center and community.
Identify problems or gaps in community resources that impact outcome and take leadership role in efforts to effect changes.
Take a leadership role in identifying opportunities to reduce risks, both financial and clinical, through analysis of resource consumption outcomes.
Qualifications Education
Associate’s Degree (Required)
High School Diploma or GED (Required)
Bachelor’s Degree Preferred
Certification / Licensure / Registration
State Registered Nurse License (Required)
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 communication skills
Strong written communication skills
Excellent interpersonal skills
Medical terminology
Additional Information All your information will be kept confidential according to EEO guidelines.
Compensation Pay Range: $39.52 - $50.64
Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide
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Job Summary The Care Manager 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 Care Manager assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients’ treatment and transitional needs.
Responsibilities
Collaborate with physicians and other health care professionals to promote appropriate use of medical center resources.
Provide physicians and ancillary departments with data on treatment outcomes and avoidable delays to promote highest quality care.
Communicate and negotiate with outside agencies, including insurance carriers, in order to obtain needed services for patients and accurate reimbursement for medical center.
Work with interdisciplinary team to coordinate needed services to ensure efficient continuity of care.
Use severity of illness/intensity of services indexes to determine appropriateness of admissions, transfer and continued stays.
Document actions in medical record according to departmental guidelines and oversee process of exchange of information with other facilities/ agencies adhering to legal mandates regarding confidentiality.
Measure effectiveness of interventions through direct communication with patients and caregivers and data collection of defined indicators (e.g. overall length of stay, readmission rates, feedback from referral services, etc.).
Plan for care needs with active involvement of patient, significant others and hospital staff involved in treatment process.
Oversee implementation of transition plans with support from internal and external agents.
Monitor patients’ progress and adequacy of planning process through regular communications with patients and service providers.
Provide information and support to patients and families, helping them access needed resources within the medical center and community.
Identify problems or gaps in community resources that impact outcome and take leadership role in efforts to effect changes.
Take a leadership role in identifying opportunities to reduce risks, both financial and clinical, through analysis of resource consumption outcomes.
Qualifications Education
Associate’s Degree (Required)
High School Diploma or GED (Required)
Bachelor’s Degree Preferred
Certification / Licensure / Registration
State Registered Nurse License (Required)
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 communication skills
Strong written communication skills
Excellent interpersonal skills
Medical terminology
Additional Information All your information will be kept confidential according to EEO guidelines.
Compensation Pay Range: $39.52 - $50.64
Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide
#J-18808-Ljbffr