Care Manager, RN

Maryland Primary Care Physicians

. Plan, develop, implement, and provide timely oversight of care plans for members with identified Care Management needs .

Posted 10/23/2026full-timeRemote • Maryland • United StatesJuniorMid-Level💰 $88,000 - $97,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the development and implementation of care plans, clinical assessments, and coordination of healthcare services. Proficient in maintaining patient confidentiality and ensuring data integrity while effectively communicating with interdisciplinary teams and community resources.

Highest-signal resume keywords

Registered Nurse LicenseCare Management ExperienceClinical Nursing ExperienceMicrosoft Office ProficiencyCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan DevelopmentClinical AssessmentData EvaluationRisk Factor IdentificationService Coordination

Soft Skills

Interpersonal SkillsPresentation SkillsTraining Skills

Tools & Technologies

Health Plan Information SystemsOffice Hardware

Certifications & Qualifications

BSNCCM

Industry Keywords

Managed Care ProgramsAmericans with Disabilities ActHIPAA ComplianceCommunity ResourcesInterdisciplinary Team Collaboration

About the role

Key responsibilities & impact

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

What you’ll need

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

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
Multiple work arrangements
Organizational-wide social opportunities
Diversity, Equity, and Inclusion commitment