RN Care Manager
York, ME
Access Healthcare
5x8 hrs, Days

RN Care Manager (Contract)

Location: York, Maine
Contract Length: 13 weeks
Hours: 40 hours per week
Shift: Variable shifts: either 8:30 AM – 4:30 PM or four 10-hour shifts from 7:30 AM – 5:00 PM
Call: No call required
Schedule: Weekend and holiday rotation required

Job Summary

The RN Care Manager coordinates concurrent utilization management activities hospital-wide and serves as the primary liaison between the patient, healthcare team, organization, and payors during the patient’s hospital stay.

Key Responsibilities

• Assess patient needs and identify resources required for transition to the next care setting.
• Secure necessary resources for patient transitions.
• Collaborate with and lead an interdisciplinary team during daily care rounds, care conferences, and care planning.
• Communicate effectively in written, verbal, and electronic formats.
• Work with community organizations to arrange durable medical equipment, health insurance authorizations, and transportation.
• Participate in managing the length of stay for inpatient hospital populations.
• Apply knowledge of hospital reimbursement methods and quality measures relevant to care management.

Required Qualifications

• Valid Registered Nurse (RN) license in Maine
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum of 3 years of clinical experience in medical/surgical nursing
• Minimum of 3 years of case management experience, including experience within the last year
• Experience in home care and home health settings
• Experience in utilization review, including InterQual criteria
• Discharge planning experience
• Active Basic Life Support (BLS) certification
• Additional relevant clinical or case management experience

Additional Information

• Proper completion of timecards is mandatory; improperly filled timecards will be rejected and not processed.
• Weekend and holiday rotation is part of the schedule.