RN - Medical Case Manager

About HealthCare Access Maryland (HCAM)

HealthCare Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health. healthcareaccessmaryland.org

Job Summary

The Registered Nurse (RN) Medical Case Manager coordinates healthcare services for children in the Baltimore City Department of Social Services (BCDSS) foster care, ensuring timely access to medical and mental health care.

This role monitors health needs, supports child welfare staff and caregivers with education and resources, and works with a multidisciplinary team to establish and maintain medical homes.

Success requires strong organizational, communication, and problem-solving skills, as well as cultural sensitivity and a commitment to compassionate care.

Duties and Responsibilities

The Primary Responsibilities of This Position Are

Case Management

• Coordinate holistic healthcare for children in the MATCH Program by partnering with the Baltimore City Department of Social Services (BCDSS) foster care program, foster parents, biological parents, managed care organizations, and healthcare providers.
• Ensure the medical and mental health care needs of children in foster care are being met in a timely manner.
• Assess children who are at risk for potential medical and mental health complications and monitor closely.
• At registration for children sheltered with BCDSS, identify all immediate medical needs to begin health care coordination.
• Review and assess all initial medical documentation from all mandated foster care exams.
• Make recommendations in determining the appropriate continuing care team
• Work with Program Manager to conduct weekly case transfer meetings.
• Provide recommendations, resources, and education to caregivers and child welfare workers.
• Assist foster care families with navigating the Health Choice system in establishing and maintaining a medical home for children in the BCDSS foster care system.
• Prioritize care and contacts based on urgency- including ability to multi-task with accuracy.
• Document case management assessments, medications, treatment plans, activities, and resolutions in BCDSS and the HCAM Program database.

Administration

• Attends weekly team meetings to review case assignments and transfers.
• Participate in all meetings as required by BCDSS.
• Participate in Multi-disciplinary team meetings, inter-agency meetings and conferences.

Human Resources

• Submit timesheet timely and accurately.
• Complete all training required by HealthCare Access Maryland and funders.

Additional Duties and Responsibilities

• Additional duties as assigned.
• May be required to work past normal working hours based on business needs.

Qualifications

Education, Experience, Certifications and Licensures

• A bachelor’s degree in nursing from an accredited college/university
• Current licensure as a Registered Nurse in the State of Maryland.
• Relevant clinical experience providing services to families and children, preferably in a public health/community setting.
• One-year clinical nursing experience.

Knowledge, Skills & Abilities

• Strong computer literacy skills, specifically with MS Word, Excel, Outlook and SharePoint (365).
• Organizational skills with the ability to meet a demanding workload
• Detail oriented to complete requirements of files and contract compliance.
• Sensitivity to cultural and socioeconomic characteristics of population served.
• We practice the “Housing First” philosophy. Knowledge is preferred; support is required.
• Excellent oral and written interpersonal and communication skills required
• Problem solving skills
• Proven ability to work efficiently and meet deadlines

Compensation

In compliance with Maryland's wage transparency requirements, the compensation for this role has been included in the posting. Additionally, the benefits package includes vacation, sick, personal, and mental health leave, a 401k retirement plan with employer match, medical, dental, life, short-term and long-term disability insurance, company-paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match.

EEO Statement

HealthCare Access Maryland provides equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification.

Equal employment opportunity includes, but is not limited to, hiring, training, promotion, demotion, transfer, leaves of absence, and termination. HealthCare Access Maryland takes allegations of discrimination, harassment, and retaliation seriously and will promptly investigate when such behavior is reported.

Safety & Health Responsibilities

HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.

With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times, and; participate in mandatory or available safety training.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl.

The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.