Jobs
>
Baltimore

    Nurse Manager- Population Health Case Management - Baltimore, United States - The University of Maryland Medical System

    The University of Maryland Medical System
    The University of Maryland Medical System Baltimore, United States

    3 weeks ago

    Default job background
    Description
    Nurse Manager- Population Health Case Management

    Full-time

    Shift:
    Day


    Position Type:
    Exempt


    Renowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care.

    Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing.

    Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work
    General Summary


    The Population Health Program Manager oversees the development and implementation of the care management program for UMMS Population Health Services Organization, including the development of goals and objectives for the Nursing Care Managers, Social Workers, Clinical Pharmacy Specialists, and Program support staff.

    This position is accountable for designing workflows to meet program goals and metrics and maintaining systems to ensure compliance with accrediting and professional certification bodies.

    This position is responsible for maintaining relationships and working collaboratively with primary care practices, specialty clinics, Federally Qualified Health Centers, University of Maryland Medical System entities, post-acute service entities, and home care providers This position is responsible for creating and monitoring systems to track and support the interdisciplinary care team and support staff in meeting all organizational, clinical and care management competencies, skills and metrics.

    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.

    In collaboration with organizational, ambulatory, and clinic/practice leadership, the PHSO Population Health Program Manager is responsible for the development, implementation and management of care management activities aimed at improving population health outcomes and maximizing Value Based Care initiatives.

    Supports innovation in clinical practice and healthcare delivery systems by disseminating research and innovation into practice.

    Develops pilot projects of evidenced-based ideas and innovations identified and/or generated by PHSO leadership and staff, designed to meet program goals and achieve quality, cost and volume objectives.

    Creates management systems that promotes standardization of workflows, assures achievement of process goals and quality metrics and incorporates all applicable NCQA accreditation standards.

    Facilitates the development, implementation and expansion of the care management program, including the Quality Care Network and Transform Health MD initiatives.

    This includes utilizing data to identify population health program needs and expansion to provide program interventions to new patient populations.

    Organizes and facilitates a care management education forum where interdisciplinary professionals can gain knowledge and skills to provide care effective and efficient coordination of care services.

    Manages the effective use of patient registries as applicable to manage specific patient populations and to improve disease and population health outcome measures.

    Collaborates with other departments and colleagues across the continuum to address gaps.
    Complies with federal, state and local legislation and accrediting bodies which may impact the organization's future goals and objectives. Collaborates with leadership to develop plans to respond to changes in health care policy.
    Develops and fosters strong relationships with Quality and Compliance. Serves as a primary lead for Care Management for NCQA activities.

    Collaborates/consults with other departments including Clinical Integration, Data, Quality and Practice Transformation to identify data needs related to care management and implements performance/outcome measures.

    Utilizes performance/outcome data to drive performance improvement.
    Facilitates and supports an interdisciplinary practice environment in which empowerment, responsibility, autonomy, accountability, collaboration and peer review are exercised.
    Effectively articulates the relationship between strategic goals for patient satisfaction, clinical and quality outcomes, and financial performance.

    Implements systems to manage and improve the performance, consistency, and integration of care coordination and care management services in a direct and matrix reporting environment.

    Acts as a resource to Nurse Care Managers, Clinical Pharmacy Specialists, and Social Workers for complex cases.

    Acts as a resource to the Practice Transformation and Quality Teams to support Practice Managers and Physicians in implementing care delivery redesign to include care coordination related activities through direct and indirect methods.

    Reviews and analyzes data related to clinical care, and identifies strategies and opportunities to improve care management and care coordination activities within the PHSO Care Management teams and associated practices.

    Collaborates with leadership to develop and implement an annual plan for regulatory education, surveillance and reporting within the care management team setting.

    Coordinates periodic and regular chart audits, sharing feedback and coordinating any resulting corrective actions plans that are established.
    Monitors program metric collection. Prepares quarterly and annual performance reports.
    Sustains strong relationships with key external organizations including community providers, FQHCs, community organizations, and accrediting agencies.
    Ensures adherence to UMMS's human resource policies and procedures.

    Directs systems for recruitment, selection, orientation, professional development, and staff recognition.

    Demonstrates leadership in promoting and valuing a diverse workforce and in facilitating the recruitment, retention and development of minority staff.

    Creates effective performance management systems which provide clear expectations for all direct report staff. Effectively addresses individual and group performance outcomes.
    Supports staff education and development with team building, problem solving, and job enrichment programs.

    Collaborates with Care Management and Clinical Integration leadership to plan, design, implement programs needed for orientation, competency assessment and professional development of Care Management staff.

    Assures the competence and effectiveness of professional and support staff that provide care, and integrates population health and care management (CCM/ACMA/NCQA) driven competencies.

    Completes performance evaluations and solicits feedback from direct and indirect team members on all directly supervised staff.
    Actively contributes to performance reviews, and performance documentation on all staff.

    Provides performance feedback for staff reporting with a matrix relationship to the PHSO Nurse Manager and / or Director of Care Management.

    Provides daily oversight for contracted non-nursing disciplines (licensed and unlicensed). Reviews performance standards and expectations, provides routine feedback and participates in performance evaluations.

    Participates on related UMMS and Ambulatory councils/committees including but not limited to Care Management UDCs, Population Health workgroups and SIHIS.

    Serves as a chair or co-chair for NCQA committee. Leads Care Management meetings.
    Knowledge, Skills, and Abilities
    Demonstrates working knowledge of Care Management principles and NCQA accreditation requirements.

    Demonstrates working knowledge of Population Health incentives as it relates to the financial relationships within the PHSO, including but not limited to, Value Based Care principles, HEDIS metrics, quality outcome data, reimbursement models and HSCRC initiatives.

    General understanding of QBR, GBR and budgeting.
    Demonstrated success in a leadership role exhibiting teaching, coaching, and development skills. Demonstrated effectiveness in a consultative role at the organizational level, and experience leading complex change.
    Ability to supervise, coach and create a motivating environment for clinical and professional personnel.
    Highly effective interpersonal, verbal, and written communication and presentation skills. The successful candidate will possess tact, diplomacy, and adaptability.
    Demonstrate effectiveness as a group leader and participant. Demonstrate ability to collaborate with multiple members of the health care and administrative leadership team.
    Ability to independently develop and manage programs and projects. Ability to plan, organize and follow through on assignments and projects.
    Knowledge of the Maryland healthcare industry and policy, preferred.
    Ability to analyze and conceptualize data to ensure achievement of desired outcomes.

    Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.

    Takes action to correct observed risks to patient safety.
    Reports adverse events and near misses to appropriate management authority.
    Implements policies, procedure, and standards consistently in the performance of assigned duties.
    Develops effective working relationships and maintains good communication with other team members.
    Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
    All your information will be kept confidential according to EEO guidelines.

    #J-18808-Ljbffr
  • LifeBridge Health

    inpatient case manager

    3 weeks ago

    LifeBridge Health Baltimore, United States

    INPATIENT CASE MANAGER (RN) · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Part-time - Day shift - 8:00am-4:30pm · RN Other · 80525 · Posted: · March 10, 2024 · Apply Now · // Setting the Saved Jobs link · function setsavedjobs(externalidlist) { · if(typeof externalidlist = ...

  • Insightglobal

    Case Manager

    1 day ago

    Insightglobal Baltimore, United States

    Case Manager are currently carrying a case load 30-35 · Lowest caseload is 20 and max is 40 · Assigned cases (intake, 14 days after intake, due by 45 day mark after intake, every 45 days after that if the case is still opened) · If they are not due for the home visit they will do ...

  • LifeBridge Health

    inpatient case manager

    3 weeks ago

    LifeBridge Health Baltimore, United States

    INPATIENT CASE MANAGER - SOCIAL WORKER (LMSW) · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm · Allied Health · 80865 · Posted: · March 10, 2024 · Apply Now · // Setting the Saved J ...

  • LifeBridge Health

    utilization & case management educator (rn)

    3 weeks ago

    LifeBridge Health Baltimore, United States

    UTILIZATION & CASE MANAGEMENT EDUCATOR (RN) · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time - Day shift - 8:00am-4:30pm · RN Other · 82791 · Posted: · April 29, 2024 · Apply Now · // Setting the Saved Jobs link · function setsavedjobs(externalidlist) { · if(typeof ...

  • LifeBridge Health

    inpatient case manager

    2 weeks ago

    LifeBridge Health Baltimore, United States

    INPATIENT CASE MANAGER - SOCIAL WORKER (LMSW) · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm · Allied Health · 76806 · Posted: · March 10, 2024 · Apply Now · // Setting the Saved J ...

  • LifeBridge Health

    inpatient case manager

    2 weeks ago

    LifeBridge Health Baltimore, United States

    INPATIENT CASE MANAGER - SOCIAL WORKER (LMSW / LCSW-C) · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm · Allied Health · 77728 · Posted: · March 10, 2024 · Apply Now · // Setting th ...

  • Insight Global

    Case Manager

    1 week ago

    Insight Global Baltimore, United States

    Ability to support 25-30 clients at a time, must maintain capacity. · Experience with government case management programs. · Develop Individualized Service Plans (ISP) with participants with the primary goal of helping clients and their families become self-sufficient within a ...

  • Sheppard Pratt

    Case Manager

    6 days ago

    Sheppard Pratt Baltimore, United States

    General Summary: · The Case Manager is responsible for providing case management services including providing information, referral, and support to clients of Outpatient Mental Health Center (OMHC) who have identified needs related to social determinates of health. · Principal ...

  • Health Care

    Case Manager

    5 days ago

    Health Care Baltimore, United States

    Overview · This position provides direct case management services to adults experiencing homelessness with various disabling conditions and psychosocial stressors who are living independently in the community. The overall purpose of this role is to assist these individuals in ob ...

  • Total Care Services

    Case Manager

    2 weeks ago

    Total Care Services Baltimore, United States

    High quality healthcare programs, services, and PEOPLE LIKE YOU · Compensation Package: · Yearly Salary: $60,000 · Exceptional Benefits · At Total Care Services, Inc., a non-profit organization, we offer more than just a chance to make a significant impact in our community. As a ...

  • City of Baltimore Maryland

    Case Manager

    1 week ago

    City of Baltimore Maryland Baltimore, United States

    An Operations Officer II performs professional work in managing an administrative, programmatic or technical operation for an agency. Work of this class may involve leading or supervising clerical, paraprofessional, technical or professional personne Case Manager, Manager, Operat ...

  • Nexus Family Healing

    Case Manager

    4 days ago

    Nexus Family Healing Baltimore, United States

    Nexus-Woodbourne is seeking a Case Manger - Community-Based Services professional with a focus on creating and managing therapeutic treatment plans. · Position Summary: · TheCase Manager - Community-Based Serviceswill support and reinforce the therapeutic treatment plan of clie ...

  • Catholic Charities of Baltimore

    Case Manager

    2 days ago

    Catholic Charities of Baltimore Baltimore, United States

    Salary: $49,750.00 Catholic Charities of Baltimore, Project Reach is looking for a Case Manager, who will provide intensive case management including, but not limited to, as-needed home visitation services to participants/clients. The Case Manager as Case Manager, Manager, Micros ...

  • BEYOND HEALTH LLC

    Case Manager

    1 week ago

    BEYOND HEALTH LLC Baltimore, United States

    Job Description · Job DescriptionManage case management needs of all SUD clients. · Assist with any case management needs of PRP. · Complete all initial case management intakes including, case management screening form, family assessment, health risk screening, Columbia suicide s ...

  • Baltimore Safe Haven

    Case Manager

    3 days ago

    Baltimore Safe Haven Baltimore, United States

    Job DescriptionSummaryCase Managers are the lead coordinators of health and wellness services for all clients at Baltimore Safe Haven. In addition, case managers are responsible for assessing, coordinating, and evaluating services for all clients.Duties and ResponsibilitiesManage ...

  • Insight Global

    Case Manager

    1 week ago

    Insight Global Baltimore, United States

    Job Description · Ability to support 25-30 clients at a time, must maintain capacity. · Experience with government case management programs. · Develop Individualized Service Plans (ISP) with participants with the primary goal of helping clients and their families become self-suff ...

  • Transformation Healthcare

    Case Manager

    15 hours ago

    Transformation Healthcare Baltimore, United States

    Job Description · Job DescriptionDescription:Summary of Position Responsibilities · As a Case Manager, you are responsible for helping those with chronic illness, mental health and or substance use disorder or life-altering conditions to gain access to rehabilitation programs and ...

  • Bon Secours

    Case Manager

    1 week ago

    Bon Secours Baltimore, United States

    Thank you for considering a career at Bon Secours · The Case Manager will manage a caseload of program participants that enrolled in Bon Secours Community Works' Returning Citizens Program. The position will ensure that all clients have a positive training outcome by ensuring th ...

  • Lutheran Immigration and Refugee Service

    Case Manager

    1 week ago

    Lutheran Immigration and Refugee Service Baltimore, United States

    If you are passionate about transforming communities with a mission-driven organization, then we have the opportunity for you · Reporting to the Client Services Supervisor, the Case Manager will provide case management, employment, and supportive services to newly arriving refuge ...

  • Chimes

    Case Manager

    2 weeks ago

    Chimes Baltimore, United States

    Join Chimes and go further to help others go far Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential. · Our vast array of services educational, employment, vocational, residential, habilitativ ...