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Job Details

Manager, Care Management (Maternal Child Health)

Requisition #: 197511
Location: Johns Hopkins Health Care, Hanover, MD 21076
Category: Nursing Management/Leadership
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Oct. 24, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

Responsible for delivery of case and disease management services to designated populations. Responsible for managing the daily activities and outcomes of exempt and non-exempt employees. The Manager of Care Management will work with the Director on ensuring adequate staffing and training to meet clinical and program needs. Responsible for measuring staff performance based upon JHHC policy and procedures and accreditation standards. Additionally, the Manager of Care Management will be responsible for managing strategic relationships with client groups and community leaders as needed.

  • Works with area-specific management to develop new programs and systems that will enhance the systems of area-specific operations. Analyzes area-specific data to identify trends and opportunities to improve care and/or service delivery
  • Active partner in day-to-day operations of Care Management and development of new initiatives.
  • Implements and facilitates disease or utilization-specific databases and processes.
  • Assures program components are up to date.
  • Maintains professional competency and future development by attending continuing education conferences and seminars.
  • Consulting duties

Requirements:

  1. Education:

Care Management -
Bachelor’s degree in Nursing or related field, or a Master’s degree in Social Work required. Master’s degree in Nursing, or related health care field preferred.

ACO -

Bachelor’s degree in Nursing or related field required. Master’s degree in Nursing or related health care field preferred.

B. Knowledge:

Knowledge of health care and managed care delivery systems. This includes standards of medical practice; insurance benefit structures and related legal/ medical issues; and utilization management and quality improvement processes.

C. Skills:

Work requires a high level of interpersonal skills to effectively interact and affect change with all levels of staff and outside business related associates.

Work requires the ability to work independently, to assess situations and respond appropriately, and the ability to initiate and implement policy and procedures. Must be willing to accept change.

Work requires excellent communication and writing skills. Work requires the ability to facilitate and promote public relations to the community and civic groups in addition to excellent communication skills with all levels of staff and outside business related associates.

Work requires a high level of interpersonal skills and attitude to effectively project a positive image of managed care programs by being professional, courteous, helpful and friendly in relationships with all levels of staff and external business related associates.

D. Required Licensure, Certification, Etc.:

Current RN or LCSW-C licensure in the state of Maryland or in a compact State required.

Certification in Case Management (CCM) preferred

E. Work Experience:

Minimum of eight years clinical experience, which includes a minimum of three years in a managed care environment (case management or utilization management).

Minimum two years management experience, preferably in the managed care environment.

F. Machines, Tools, Equipment:

Must be able to operate computer, general office and communication equipment.


Pay Grade: MH

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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