Care Manager, RN

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🔥 1 minute ago

🦀 Maryland – Remote

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💵 $88k - $97k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Logo of Maryland Primary Care Physicians

Maryland Primary Care Physicians

201 - 500 employees

Founded 1996

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Maryland Primary Care Physicians is a physician-owned primary care group serving families across Central Maryland, offering patient-centered comprehensive care at multiple office locations. They provide primary and preventive care, pediatric and family services, same-day sick visits, after-hours and weekend telemedicine, onsite lab testing, and integrated specialty services including cardiology, endocrinology, genetics, and nutrition. The practice emphasizes continuity of care, community roots, online appointment scheduling, a patient portal for 24/7 access, and coordinated care across specialties to support patients through every stage of life.

📋 Description

• Plan, develop, implement, and provide timely oversight of care plans for members with identified Care Management needs • Improve coordination, continuity, accessibility, and appropriate utilization of healthcare services and community resources • Develop, maintain, and monitor processes for timely identification and assessment of high-risk and special-needs members • Serve as an interdisciplinary team member and perform clinical/social determinants of health assessments • Conduct telephone or face-to-face member interviews to identify risk factors and care management needs • Build professional networks with service and resource providers • Initiate, develop, plan, and implement care plans • Use clinical judgment to discharge members from care management • Maintain care management records and ensure data integrity in health plan information systems • Collect, evaluate, and report clinical, functional, and program activity data • Educate members' medical providers regarding special needs • Coordinate with community support and social service systems • Reduce care costs through service coordination and multidisciplinary collaboration • Assist with care management policy and procedure development • Communicate departmental, member, program status, and compliance issues to the supervisor/manager • Maintain patient confidentiality under HIPAA guidelines • Identify and report gaps in the service delivery system

🎯 Requirements

• Registered Nurse with current state license • 2+ years of clinical nursing experience in acute care or community setting • Demonstrated experience helping members using community agencies • 2 years of care management experience • Ability to successfully utilize Microsoft Office suite and common computer and office hardware • Ability to conduct presentations and training before small and large groups • Knowledge of the Americans with Disabilities Act of 1990 • Demonstrated skill in written and oral communication, including presentations and training • Knowledge of Managed Care Programs (preferred) • BSN (preferred) • CCM (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 • Multiple work arrangements • Organizational-wide social opportunities • Diversity, Equity, and Inclusion commitment

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