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Care Manager I RN (Maryland)
Job Location:
Job Location:
Monterey Park, NM - USA
Hourly Salary:
USD 40 - 45
Hourly Salary:
Posted:
8 August 2026 (30+ days ago)
Posted:
Application Deadline:
24 November 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Job Title: Care Manager
Department: Population Health
Department: Population Health
What Youll Do
- Develops and initiates the Individual Care Plan which is client-centered com prehensive and consistent with program guidelines and policies and procedures
- Identifies arranges for and monitors appropriate community services based on a good knowledge of Medicare Medicaid and other entitlement programs
- Coordinate and facilitate patient care through assessment evaluation planning and implementation
- Communicate patient needs to a variety of care team members and follow up accordingly
- Manage discharge plans upon completion of treatment
- Work collaboratively with patients families physicians and nurses to ensure high quality care
- Act as the patients advocate as it relates to insurance coverage and financial assistance
- Maintain the patients comprehensive clinical record through detailed documentation
- Coordinate an interdisciplinary approach to support timely access to appropriate care facilitate continuity of care among providers and improve utilization of appropriate resources
- Apply established principles of care transition and follow member through continuum of care as well as coordinate a warm hand-off to the appropriate provider and/or health plan for necessary involvement of continuation of care and services
- Assists UM Manager and participates in all internal and external audits
- Primary liaison with all contracted health plans for case management activities
- Ensure the privacy and security of PHI (Protected Health Information) as outlined in Medical Group/ MSO policies and procedures related to HIPAA compliance
- Other duties and special projects as assigned
Qualifications
- Registered Nurse Licensed Vocational Nurse or Medical Assistant required
- Bachelors degree in nursing and or a related health services field is preferred
- At least two (2) years experience in utilization management including experience applying evidenced based clinical criteria and benefit plans is required
- At least three (3) years of clinical experience preferably in case management or related experience is required
Youre great for the role if:
- Have a certification as Certified Case Management (CCM)
- Are fluent in Tagalog or Ilocano
Environmental Job Requirements and Working Conditions
- This is a remote position. This position is based in the Maryland area.
- This position is required to visit provider offices and members in the Hagerstown Maryland area.
- The total compensation target pay range for this role is: $40.00 - $45.00 per hour. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran status as an individual with a disability or other applicable legally protected characteristics. All employment is decided on the basis of qualifications merit and business need. If you require assistance in applying for open positions due to a disability please email us at to request an accommodation.
Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Required Experience:
Manager
