Care Manager, RN

Maryland Primary Care Physicians

Care Manager (RN) overseeing care management processes at Maryland Care Management, Inc. Collaborating with interdisciplinary teams to assess and provide care for high-risk members.

Posted 5/1/2026full-timeRemote • Maryland • 🇺🇸 United StatesJuniorMid-Level💰 $88,000 - $97,000 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical assessmentscare managementdata integritycare plan developmentrisk factor identificationprogram evaluationservice coordinationmultidisciplinary collaborationcommunity agency experiencepediatric care

Soft Skills

interpersonal communicationteam collaborationrelationship buildingclinical judgmenteducational skillsorganizational skillsproblem-solvingproject managementadaptabilityquality assurance

Certifications

Registered NurseBSN