Case Management Nurse

We are seeking a career-minded RN Case Manager in Timonium, MD. This is an excellent opportunity for a motivated RN or LPN who is eager to grow professionally within an innovative and mission-driven organization.Position Summary:The Medical Case Manager is responsible for assessing, planning, coordinating, monitoring, and evaluating the services and resources available to support an optimal treatment plan for each member. This role plays a key part in ensuring continuity of care across different settings in a cost-effective and patient-focused manner.Key Responsibilities:Coordinate care and services for members across local and national providersServe as liaison among patients, primary care providers, specialists, and health plansMonitor ongoing care needs, including pharmaceuticals and durable medical equipment (DME)Facilitate discharge planning and care transitionsTrack service authorizations and manage approval/denial processesPerform medical risk assessments for Stop Loss carriersManage assigned caseloads, providing insight into financial exposure for each caseQualifications:Active RN or LPN license (required)Bachelor's degree in Nursing or a health-related field (preferred for RN candidates)Minimum of 2 years of clinical experience (critical care experience preferred)Previous experience in case management, utilization review, or discharge planningFamiliarity with healthcare claims, risk assessment, and insurance processesExperience in a business, administrative, or corporate setting is a plusAbility to work onsite full-time in Timonium, MDCompensation & Benefits:Range: $85,000-$95,000- pending experience and educationComprehensive benefits package for full-time employees Ideally looking for a Fall 2025 start!HC123

Created: 2025-09-28