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case management specialist Jobs in Baltimore

case management specialist

case manager (10543)

medical field case manager Jobs in Baltimore

medical field case manager

case manager

Baltimore Crisis Response, Inc

Description
 <div>Case Manager
 Baltimore, Maryland
 $20.00-$23.00 Hourly
 Full-Time | Shifts: 9:00M-5:00PM | Monday- Friday
Being the Leader Communities Need in Moments of Crisis.
About Us
Baltimore Crisis Response, Inc. (BCRI) is a nationally recognized nonprofit and Baltimore&rsquo;s only comprehensive crisis response system. Since 1992, we&rsquo;ve been at the forefront of behavioral health crisis care &mdash; providing timely, community-based services for individuals and families experiencing mental health and substance use challenges.
The Opportunity
We are seeking a Case Manager to support individuals as they move through different levels of care. In this role, you&rsquo;ll partner with clients and their care teams to coordinate services, develop discharge plans, and connect individuals with the community resources they need for ongoing recovery. You&rsquo;ll also play a hands-on role in monitoring daily progress, supporting treatment goals, and fostering smooth transitions across the system of care.
This is more than case coordination &mdash; it&rsquo;s an opportunity to advocate for individuals, strengthen continuity of care, and make a meaningful impact on recovery outcomes in Baltimore. 
What You&rsquo;ll Do
<ul><li>Supports the delivery of care and engagement of individuals under care by participating in group supervision and by reviewing evaluations, assessments, treatment plans, and progress notes to understand the unique needs, strengths, preferences, and goals.
</li><li>Assesses the needs of the individual receiving care across multiple domains including mental health, medical, social, and other services by completing needs assessment and other appropriate tools.
</li><li>Partners with the client receiving care and their care team to identify clinical goals, interventions, and strategies, documenting in the discharge plan.
</li><li>Initiates and submits referrals to medical and Behavorial health care, community programs, and service providers.
</li><li>Develops and maintains strong working knowledge of care partners, service providers, and stakeholders across the system of care, maintaining a positive rapport.
</li><li>As approved and assigned, uses company vehicles to provide transportation for individuals entering, receiving, or discharged from care.
</li><li>Collaborates with care team members for admission and discharge from the residential milieu, engaging external stakeholders when appropriate and as directed during these transitions.
</li><li>Serves as a liaison as assigned and appropriate for internal and external stakeholders, care partners, and visitors.
</li><li>Demonstrates adherence to company policies, expectations, and behavioral competencies, both explicit and implicit.
</li><li>All tasks, projects, and/or duties as assigned and authorized, as determined by Direct Supervisor (or designated delegate) to be congruent with the role.</li></ul></div>
 Qualifications
 <div>Qualifications
<ul><li>High school diploma or equivalent.
</li><li>Bachelor&rsquo;s Degree preferred
</li></ul>Additional
<ul><li>Applicant must have a valid MD driver&rsquo;s license and will transport clients using a company vehicle when needed.
</li></ul>Why Join BCRI
 Medical, Dental, and Vision Insurance.
 403(b) Retirement Plan
 Generous PTO &ndash; Vacation, Sick, Personal, and Holidays.
 Tuition Reimbursement &amp; Professional Development Support.
 Be part of an innovative, impact-driven team shaping the future of crisis care.
Make a Difference. Lead with Compassion.
 
This is more than a leadership role &mdash; it&rsquo;s a chance to help individuals and families find stability in their most vulnerable moments.
 Apply today and become a guiding force for change.</div>

Case Manager (10543)

<div>Case Manager
 Baltimore, Maryland 
 $20.00-$23.00 Hourly
 Full-Time | Shifts: 9:00M-5:00PM | Monday- Friday
Being the Leader Communities Need in Moments of Crisis.
About Us
Baltimore Crisis Response, Inc. (BCRI) is a nationally recognized nonprofit and Baltimore&rsquo;s only comprehensive crisis response system. Since 1992, we&rsquo;ve been at the forefront of behavioral health crisis care &mdash; providing timely, community-based services for individuals and families experiencing mental health and substance use challenges.
The Opportunity
We are seeking a Case Manager to support individuals as they move through different levels of care. In this role, you&rsquo;ll partner with clients and their care teams to coordinate services, develop discharge plans, and connect individuals with the community resources they need for ongoing recovery. You&rsquo;ll also play a hands-on role in monitoring daily progress, supporting treatment goals, and fostering smooth transitions across the system of care.
This is more than case coordination &mdash; it&rsquo;s an opportunity to advocate for individuals, strengthen continuity of care, and make a meaningful impact on recovery outcomes in Baltimore.
What You&rsquo;ll Do<ul><li>
Supports the delivery of care and engagement of individuals under care by participating in group supervision and by reviewing evaluations, assessments, treatment plans, and progress notes to understand the unique needs, strengths, preferences, and goals.
</li><li>Assesses the needs of the individual receiving care across multiple domains including mental health, medical, social, and other services by completing needs assessment and other appropriate tools.
</li><li>Partners with the client receiving care and their care team to identify clinical goals, interventions, and strategies, documenting in the discharge plan.
</li><li>Initiates and submits referrals to medical and Behavorial health care, community programs, and service providers.
</li><li>Develops and maintains strong working knowledge of care partners, service providers, and stakeholders across the system of care, maintaining a positive rapport.
</li><li>As approved and assigned, uses company vehicles to provide transportation for individuals entering, receiving, or discharged from care.
</li><li>Collaborates with care team members for admission and discharge from the residential milieu, engaging external stakeholders when appropriate and as directed during these transitions.
</li><li>Serves as a liaison as assigned and appropriate for internal and external stakeholders, care partners, and visitors.
</li><li>Demonstrates adherence to company policies, expectations, and behavioral competencies, both explicit and implicit.
</li><li>All tasks, projects, and/or duties as assigned and authorized, as determined by Direct Supervisor (or designated delegate) to be congruent with the role.
</li></ul>Qualifications<ul><li>
High school diploma or equivalent.
</li><li>Bachelor&rsquo;s Degree preferred
</li></ul>Additional<ul><li>
Applicant must have a valid MD driver&rsquo;s license and will transport clients using a company vehicle when needed.</li></ul>
Why Join BCRI 
 Medical, Dental, and Vision Insurance. 
 403(b) Retirement Plan 
 Generous PTO &ndash; Vacation, Sick, Personal, and Holidays. 
 Tuition Reimbursement &amp; Professional Development Support. 
 Be part of an innovative, impact-driven team shaping the future of crisis care.
Make a Difference. Lead with Compassion. 
This is more than a leadership role &mdash; it&rsquo;s a chance to help individuals and families find stability in their most vulnerable moments.
 Apply today and become a guiding force for change.</div>

Case Manager

TurnAround, Inc.

SUMMARYThe CAPS Case Manager is responsible for providing trauma informed direct services and intensive case management to survivors impacted by intimate partner and sexual violence through a collaboration with the various Baltimore city sites. The CAPS Case Manager will assist clients with accessing internal and external resources, advocacy support, and provide crisis intervention as needed. The Case Manager will work with community partners to coordinate services and facilitate connections using a &ldquo;warm hand off approach&rdquo; while carrying out TurnAround's mission.ESSENTIAL DUTIES AND RESPONSIBILITIESGENERAL1. Conduct thorough assessments and intake to determine client&rsquo;s eligibility and needs2. Implement programming for clients in various Baltimore city sites.3. Assist client and their families in developing goal plans4. Connect clients impacted by intimate partner and sexual violence to necessary resources, internally and/or externally.5. Perform duties offsite as determined by funding and the position.6. Serve clients impacted by one or more victimization as determined by funding and position.7. Document client&rsquo;s notes and other data using agency database system (s). Maintain all client records.8. Collect and document data on service impact for funders and other sources using evaluation tools.9. Utilizing a trauma informed approach, provide crisis intervention as needed10. Knowledgeable about current best practice trends in intimate partner violence, human trafficking and sexual assault prevention education strategies.11. Representation of TurnAround with constituents and partnership agencies.SEXUAL VIOLENCE1. Support minor and adult age survivors of all gender identities that have been impacted by sexual assault, rape, and sexual abuse.2. Participate in outreach and connect with agencies that support victims of sexual assault including hospitals, medical centers, department of social services and law enforcement.3. Be knowledgeable in victim rights and laws pertaining to sexual assault crimes and actively assist the survivor through the legal process.4. Provide or coordinate court accompaniment.5. Assist the survivor to access necessary resources they are eligible to receive including victim&rsquo;s compensation.INTIMATE PARTNER VIOLENCE1. Support minor and adult age survivors of all gender identities that have been impacted by intimate partner violence that experience various abuses, including stalking.2. Use the lethality and high danger screening assessment tool to assess immediate shelter and services.3. Be knowledgeable in victim rights and laws pertaining to intimate partner violence crimes and actively assist the survivor through the legal process.4. Provide or coordinate court accompaniment.5. Assist the survivor to access necessary resources they are eligible to receive including victim&rsquo;s compensation.HUMAN TRAFFICKING1. Support minor and adult age survivors of all gender identities that have been impacted by sex trafficking and labor trafficking.2. Provide case management services at various Baltimore city sites3. Participate in outreach and connect with agencies that support victims of human trafficking4. Be knowledgeable in victim rights and laws pertaining to human trafficking crimes and actively assist the survivor through the legal process.5. Provide or coordinate court accompaniment.6. Assist the survivor to access necessary resources they are eligible to receive including victim&rsquo;s compensation.ADDITIONAL DUTIESParticipate in training and awareness opportunities to increase the knowledge of various groups on these types of victimizations.SUPERVISORY RESPONSIBILITIESN/AEDUCATION AND EXPERIENCE1. Bachelor&rsquo;s Degree preferred in psychology, social work, human services, correlated field. Associate&rsquo;s Degree considered as minimum with additional relevant work experience.2. Experience working with related populations or those exposed to trauma.3. Experience working with populations impacted by mental health, substance abuse, legal and social services systems, and homelessness.4. Knowledge of community resources and initiatives preferred.5. Experience in handling crisis situations.6. Requires strong interpersonal, assessment, and documentation skillsLANGUAGE SKILLS1. Possess professional demeanor and exhibit exceptional teamwork orientation with good written/oral communication skills.2. Demonstrate person first and person-centered language skills.3. Bilingual skills desired but not required (Spanish preferred).WORK ENVIRONMENTWork is conducted at the designated community settings as determined by role. Community settings can be any of the partner sites.HOURSWork hours are Monday through Friday at 40 hours per week, evenings required. Staff should remain flexible working outside of these hours and beyond 40 hours as needed to assist survivors.REASONING ABILITY1. Ability to mediate issues related to clients, professionals and other constituents.2. Possess critical thinking skills and judgment on when to seek the Program Manager or other positions for assistance.TECHNICAL SKILLS1. Proficient computer skills to operate email, Internet, Microsoft Office, and ability to navigate database entry software.2. Ability to learn and navigate technology used on and off work sites (i.e., security systems, video conferencing devices, etc.3. Ability to plan, schedule, and organize work independently.PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. Possible assistance with lifting of items such as client&rsquo;s belongings, donations and other items received.2. Some cleaning and light maintenance are also required of the space.3. Climbing stairs. Reliable transportation and walking are necessary as travel between TurnAround office locations and offsite locations that include community sites.Pay: $52,000.00 - $62,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Retirement plan</li><li>Vision insurance</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>working with individual effected by trauma: 3 years (Required)</li><li>community resource: 3 years (Preferred)</li></ul>Work Location: In person

CAPS Case Manager

Enlyte

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div> 
Be part of a team that makes a real difference.</div>
Job Description:
<div>
This is a full-time, hybrid position. The candidate must be located in the
 
Baltimore, MD area due to regular local travel for in-person patient appointments.</div><div></div><div> 
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div> 
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as attend injured worker&rsquo;s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>
Qualifications:
<ul><li>Education: Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li>
Experience: 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li>
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li>
Certifications, Licenses, Registrations:
<ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.</li></ul></li><li>
Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li>
Internet: Must have reliable internet.</li></ul>
Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $79,000 - $90,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.</div><div> 
</div>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
<div>#LI-AC1</div><div>
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Medical Field Case Manager

University of Maryland Medical System

<div>Job Requirements 
 
General Summary:
Under general supervision independently works with individuals in the community who need case management services in developing, securing, and maintaining basic life needs and mental health treatment. Provides an array of services to assist individuals through assessment, service planning and delivery, and referral or linkage to other community resources. Interacts with all individuals in a respectful, dignified, therapeutic, adult, engaging, and culturally sensitive manner using identified counseling and communication skills. Conducts outreach with individuals off-site and at locations convenient to individuals needs. Schedules and arranges off-site services while remaining aware of various community safety issues. 
Principal Responsibilities and Tasks:
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.<ul><li>
Makes initial contact/outreach with individuals referred/assigned. Conducts an assessment for case management services, completion of admission paperwork, and the initial development of a service plan involving needs, strengths, and goals.</li><li>
Independently develops individualized support plan and coordinates/implements services.</li><li>
Within the first 90 days must make a home visit to the individual&rsquo;s home to evaluate the living conditions. If the individual is homeless, must meet the individual in a community setting of individuals choosing.</li><li>
Performs interventions that assist the individual in meeting short and long term goals. This involves transportation of the individual to community resource appointments, ongoing coordination of service/acquisition of resources, work with the family and other service providers as needed as well as outreach provision these services involve.</li><li>
During the course of provision of services the service plan will be reviewed and updated according to MHP and the Public Mental Health System requirements and in compliance with State regulations.</li><li>
Works with individuals to develop budgets and assist with management of these through the representative payee system.</li><li>
Attends regular and emergency team meetings. Actively participates in team meetings to ensure efficient and effective service provision.
</li><li>Maintains a highly flexible schedule to respond to individual needs. Exercises considerable independent judgement in determining the appropriate response to emergency needs of individuals.</li><li>
Independently encounters a broad range of clinical/social/family dynamics and situations, many of an unpredictable nature. Secures support and presence of co-workers as needed when encountering suspect situations.</li><li>
Collaborates with other staff team members. Assists other agency teams and team members as needed.</li><li>
Provides crisis intervention and oversees the resolution of crisis. This may involve doing an emergency petition, working more closely with clinical treatment staff, transporting a patient to emergency mental health services</li><li>
Responsible for meeting billing/service goals, ensuring accurate documentation in compliance with state regulations and PMHS/MHP requirements, following policies and procedures, and submitting on schedule. This includes but not limited to the ongoing development of service plans, annual assessments, progress notes for each contact and monthly summary notes</li><li>
Attends all required and relevant training to remain current in best practices, including those required by state regulations and offered by BMHS or the Mental Hygiene Administration.</li></ul>
Knowledge, Skills and Abilities:<ul><li>
Knowledge of community resources is essential. Knowledge of relevant criteria and application process is desirable.</li><li>
Must have demonstrated interest in community outreach.</li><li>
Effective oral and written communication and counseling skills (i.e. active listening, building rapport, respecting boundaries, etc.) are necessary in order to establish and maintain effective working relationships with members, staff members and the general public.
</li><li>Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient populations(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs.</li><li>
Must be computer literate.</li></ul>
Patient Safety:
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
<ul><li>Takes action to correct observed risks to patient safety.</li><li>
Reports adverse events and near misses to appropriate management authority.</li><li>
Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.</li></ul> 
Education and Experience:<ul><li>
Bachelor&rsquo;s Degree in social work or a related field is required.</li><li>
One (1) year professional experience performing mental health services is required.</li><li>
Experience with those having serious and persistent mental illness preferred.</li><li>
Current, valid, MD state driver&rsquo;s license is required.
</li><li>Use of employee&rsquo;s own personal vehicle is required.</li></ul>
Additional Information:<ul><li>
All your information will be kept confidential according to EEO guidelines.</li><li>
Work Schedule: 8-4:30pm</li></ul>
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu</div>

Case Management Specialist

Gabriel Healthcare Solutions

Job Summary Join our dedicated team as a Social Services professional, where you will play a vital role in supporting individuals and families through comprehensive case management, counseling, and community outreach. This position offers an exciting opportunity to make a meaningful difference by providing compassionate care, conducting assessments, and coordinating resources to enhance clients' well-being. You will work in diverse settings such as outpatient clinics, inpatient facilities, assisted living communities, and home-based environments, ensuring holistic support tailored to each individual's needs. This paid position is designed for passionate professionals eager to foster positive change and promote mental health and social stability.Responsibilities<ul><li>Conduct thorough patient assessments to identify needs related to mental health, addiction, developmental disabilities, or aging-related conditions such as dementia or Alzheimer's care</li><li>Provide individual and group counseling sessions utilizing evidence-based practices like cognitive behavioral therapy (CBT), behavioral therapy, motivational interviewing, and applied behavior analysis (ABA)</li><li>Develop personalized care plans and coordinate services including crisis intervention, case management, and community resource linkage</li><li>Maintain accurate medical documentation in compliance with HIPAA regulations and ensure proper management of medical records using Electronic Medical Record (EMR) systems</li><li>Collaborate with healthcare providers, social workers, educators, and families to facilitate comprehensive treatment plans and support systems</li><li>Perform diagnostic evaluations utilizing ICD-9/10 coding systems for accurate classification of mental health or developmental disorders</li><li>Engage in clinical research activities related to behavioral health or social services initiatives to improve program effectiveness and client outcomes</li></ul>Experience<ul><li>Proven experience working with children, adults, seniors, or individuals with disabilities in settings such as outpatient clinics, inpatient units, nursing homes, or assisted living facilities</li><li>Familiarity with hospital procedures, hospice care protocols, post-acute care environments, or home &amp; community care programs</li><li>Hands-on experience with crisis management, intake procedures, mental health counseling, and behavioral health interventions</li><li>Knowledge of medical terminology, CPT coding for billing purposes, ICD coding systems for diagnoses, and HIPAA compliance standards</li><li>Demonstrated ability to perform patient care activities including assessments and case management across diverse populations such as geriatrics, pediatrics, or individuals with autism or PTSD</li><li>Experience working within EMR systems and managing medical documentation accurately in fast-paced clinical settings</li></ul>This role offers a dynamic environment where your expertise will directly impact lives. We value energetic professionals committed to delivering exceptional social services through compassionate engagement and evidence-based practices. Join us in creating supportive spaces that foster healing and resilience!Job Types: Full-time, Part-time, Per diemPay: $53,257.93 - $64,138.58 per yearWork Location: On the road

Social services

Chase Brexton Health Care

<div>
 JOB SUMMARY: The Nurse Care Coordinator delivers and oversees care management services for medically and/or socioeconomically complex patients in accordance with patient-defined goals, multi-disciplinary plan of care, and established policies and procedures. Drawing on best practices in motivational interviewing and care management, the Nurse Care Coordinator collaborates with clients and multi-disciplinary teams to develop and implement flexible, patient-centered, and cost-effective strategies that support clients to achieve health-related goals. The Nurse Care Coordinator will collect and analyze patient-level data, assist with development and maintenance of care plans, and evaluate outcomes of interventions. The Nurse Care Coordinator also serves as a role model and mentor to CBHC staff on best practices in care coordination, motivational interviewing and addressing social determinants of health. Assures compliance with regulatory body standards (including Joint Commission, HRSA, PCMH, and grant funding sources). This is a hybrid position, and the staff member is expected to be licensed and based in Maryland.
 
 
 
 Major Duties And Responsibilities
 
 
 
 Analytical and Critical Thinking
 
 
 <li>
 
 
 </li>
 Work to develop systems and processes to engage patients in self-management and care navigation.
 
 
 <ul>
 <li>
 Ensure that appropriate community resources, home care and ancillary services are in place and being delivered.
 </li>
 <li>
 Identify high and rising-risk, high-need, and potentially high-cost patients within the assigned panel of Chase Brexton Health Care patients
 </li>
 <li>
 Identify patients at risk for poor outcomes and those who may require more intensive services; provide additional outreach and frequent follow up (by phone and in-person) to this population.
 </li>
 <li>
 Provide complex case management, including chronic disease case management, care coordination, transition care management, high risk clinical tracking, and complex medication management to appropriate patients.
 </li>
 <li>
 Access appropriate resources inside and outside the organization to meet the needs of the patient.
 </li>
 <li>
 Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the patient, coordinate services to avoid duplication. Teamwork
 </li>
 <li>
 Role model and mentor others, including RN Care Managers, to assess and address the physical, functional, social, psychological, environmental, learning and financial needs of patients.
 
 
 </li>
 </ul>
 Communication
 
 
 <ul>
 <li>
 Deliver, and assist others to also provide, appropriate interventions which demonstrate knowledge of, and sensitivity toward, cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Utilize interpreter services per policy.
 </li>
 <li>
 Facilitate disease prevention and health promotion with nursing staff, patients and families. Patient Focus
 </li>
 <li>
 Provide education, information, and support related to care goals of patients.
 </li>
 <li>
 Act as a patient advocate and assist with problem solving and addressing any barriers to care or compliance with care plan. Checking, Examining, and Recording
 </li>
 <li>
 Maintain accurate patient records and patient confidentiality. Willingness to Learn
 </li>
 <li>
 Engage in professional development activities to keep abreast of care management practices and patient engagement strategies.
 </li>
 <li>
 Attend training sessions and staff meetings as assigned.
 
 
 </li>
 </ul>
 SKILLS AND ABILITIES:
 
 
 <li>
 
 
 </li>
 Able to prioritize competing responsibilities and manage complex caseloads.
 
 
 <ul>
 <li>
 Motivational interviewing skills.
 </li>
 <li>
 Supportive coaching and mentorship to colleagues at clinic sites, including RN Care Managers, around care coordination and addressing social determinants of health.
 </li>
 <li>
 Experience with documentation in an Electronic Medical Record
 </li>
 <li>
 Ability to work with computers in word processing, and database applications preferred.
 </li>
 <li>
 CPR certified by scheduled start date.
 </li>
 <li>
 Must be flexible and adapt to a changing environment.
 
 
 </li>
 </ul>
 EDUCATION AND/OR EXPERIENCE:
 
 
 <li>
 
 
 </li>
 Graduate from an Accredited School of Nursing; Current Maryland Nursing License
 
 
 <ul>
 <li>
 At least five years of related nursing experience serving vulnerable clients in a community-based, home-based, or ambulatory care setting.
 </li>
 <li>
 Chronic disease management experience
 </li>
 <li>
 Encouraged to maintain membership in professional organizations such as the AAACN, ANAC, etc.
 </li>
 </ul>
 <li>
 
 
 </li>
 Preferred: Case Management Certification
 
 
 WORKING CONDITIONS/PHYSICAL DEMANDS:
 
 
 <ul>
 <li>
 Work is typically performed in an office environment. Depending on client/population needs, may also include clinical and community and/or home-based activities, as appropriate to program. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
 
 
 </li>
 </ul>
 My signature below indicates that I have reviewed this job description. I understand the specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
 
 
 ___________________________________________________ _________________
 
 
 Employee Signature
</div>

Population Health RN Care Coordinator

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