Knowledge is considered one of the most important competitive resources of small and medium size enterprises (SMEs). In order to be effective, knowledge management depends in a large degree on the employees, both on those holding managerial positions, and on regular staff. Aiming to identify patterns of knowledge management (KM) approach in Romanian SMEs and their connection with company’s human resource, the study applies an online survey with 108 SMEs from Romania. The study finds out that the majority of SMEs implemented KM practices derived from the problem-solving approaches of daily challenges and the knowledge handling procedures for employees. Also, the results indicate that 86,1% of the participants perceive knowledge and its management as valuable or highly valuable for their organization, highlighting a significant interest of SMEs in implementing more structured KM procedures and flows. Still, KM is a vague concept for and handled intuitively by most Romanian SMEs. These aspects hold back KM implementation, together with the lack of KM specialists and the need for additional human resources involved in KM. Overall, the study offers insights into the actual KM approaches adopted by Romanian SMEs, emphasizing the need of a better promotion among managers and practitioners of the conceptual and practical aspects related to knowledge management.