RN:Care Manager

Job Title:

RN Care Manager

City/State: York, Maine

Shift: Variable 8 – 4:30 pm or 4 – 10 hour shifts of 7:30 am to 5:00 pm – No Call – Weekend and Holiday Rotation

Contract Length: 13 weeks

Start Date: 08/24/2026

Job Description:

The RN Care Manager will coordinate concurrent utilization management activities house-wide and is the main link between the patient, health care team, organization, and payors during the patient’s hospital stay.

Responsibilities:

• Ability to conduct an assessment of patient needs, identify resources required to transition patients to the next setting, and secure the necessary resources.
• Collaborate, educate, and lead an interdisciplinary team of professionals in daily care rounds/care conferences/care planning.
• Excellent communication skills in written, verbal, and electronic systems such as email or with software applications currently used with the hospital.
• Ability to work with community organizations to secure durable medical equipment, health insurance authorizations, arrange transportation.
• Participate in the length of stay of an inpatient hospital population.
• Knowledge of hospital reimbursement methods and quality measures applicable to the care management department.

Requirements:

• Associate or Bachelor degree-prepared Registered Nurse with 3-5 years clinical experience in medical/surgical nursing, home care, hospital case management and/or previous utilization review experience.
• Must have utilization review and discharge planning experience.
• Must have active BLS.
• CCM or ACM preferred.
• Certification by a nationally recognized case management or utilization review organization preferred.