Job Description

I. General Summary

Works in collaboration with the practice manager, physicians, advanced practice providers, office staff, and other members of the practice team to foster interdisciplinary planning and collaborative relationships to meet quality metrics, review gaps in care, help patients navigate the healthcare system, screen for social determinants of health, and manage clinical conditions in the community with identified resources. Serves as a clinical resource for the office staff and supports the team with care coordination.

II. Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. In collaboration with the providers, assists with patient advice calls, patient triage assessments, managing clinical boxes, and coordinating EPIC My Portfolio Medical Advice messages.
2. In collaboration with the providers, completes pre and post procedural calls with patients providing them instructions and their caregivers.
3. In collaboration with the practice manager, assists the staff with pre-visit planning to complete tasks associated with closing gaps in care and meeting quality measures.
4. Serves as a clinical resource/educator to facilitate the development of the team in collaboration with the providers, practice manager, clinical leads, and care manager.
5. Reviews quality measures with the Director of the Medical Group, Program Consultant, and Director of Operations.
6. Reviews quality measures with the providers and office staff and collaboratively works to develop initiatives to improve or maintain those measures.
7. In collaboration with the practice manager, assists with staff training and the creation of standard work.
8. Ensures consistent application of medical group rules and regulations.
9. Participates in the development and implementation of practice guidelines, procedures, and standards. Including documentation and follow-up.
10. Supports the team with care coordination.
11. Performs related duties as assigned.

Qualifications

III. Education and Experience

1. 3 years of clinical nursing experience is Required.
2. 1 year of care coordination and/or understanding of primary care practice dynamics is Required.
3. Current Maryland Nursing License is Required.
4. BLS is required.
5. Bachelor’s degree (or in progress) is preferred.
6. Care Management Certification is preferred.

IV. Knowledge, Skills and Abilities

1. Knowledge of primary care practice operations.
2. Knowledge of quality-based reimbursement and utilization management.
3. Ability to make sound, independent judgements and act professionally under pressure .
4. Ability to apply creative problem-solving skills.
5. Consistently exhibits behavior and communication skills that demonstrate University of Maryland St. Joseph Center commitment to superior customer service, including quality, care, and concern with each and every internal and external customer.
6. Strong verbal communication skills, strong written communication skills, excellent interpersonal skills.
7. Knowledge of basic computer software programs.
8. Self-directed and able to work autonomously.
9. Demonstrates a thorough understanding of the cost and quality consequences resulting from care management decisions.
10. Demonstrates knowledge of community resources available in the service area and ability to apply skills of advocacy and negotiation to meet customer needs.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation

• Pay Range: $40.61- $60.96
• Other Compensation (if applicable):
• Review the 2024-2025 UMMS Benefits Guide

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