Education and Experience

• Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required; BSN preferred.
• . 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting
• Experience with educating patients and patient goal setting (essential)
• Case Management Certification (preferred)
• Experience in a manage care information environment (preferred)
• Preferred experience would include knowledge of quality improvement processes (LEAN or PDSA); practice re-design work such as patient centered medical home and Joint Commission and National Committee for Quality Assurance (NCQA) accreditations.

Knowledge, Skills and Abilities

• Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
• Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management
• Proficient documentation skills to maintain client records
• Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion
• Critical thinking skills to analyze and solve problems
• Strong problem management strategies and issue resolution skills
• Excellent interpersonal, verbal, and written communication skills
• Strong organization skills, detail oriented, and knowledgeable
• Ability to work independently and effectively in a fast pace environment.
• Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities.
• Ability to effectively present information and respond to questions from families, members, providers, and clients, as well as the ability to relate effectively to upper management
• Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
• Understands benefit/payer systems and reimbursement structures for patients.
• Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems
• Thorough and solid knowledge of health care and managed care delivery systems. This includes standards of medical practice, insurance benefits structure, and the utilization and case management process.
• Knowledge of state and federal laws and resources
• Proficiency in Microsoft Office including Outlook, Word, Excel and PowerPoint; knowledge of or the ability to learn care management/EMRsoftware (e.g., Epic) and other software in order to perform job duties