RN Care Manager

Job Description

We are seeking two experienced RN Care Managers for a 13-week assignment in York, ME. These positions offer 40 hours per week with variable shifts, either from 8:30 AM to 4:30 PM or four ten-hour shifts starting at 7:30 AM to 5:00 PM. Weekend and holiday rotation is required, but there is no on-call obligation. The RN Care Manager will coordinate concurrent utilization management activities and will act as the primary link among the patient, healthcare team, organization, and payers during the patient’s hospital stay.

Duties and Responsibilities

• Conduct comprehensive assessments of patient needs and identify required resources for transitioning patients to the next care setting.
• Collaborate, educate, and lead an interdisciplinary team of professionals in daily care rounds, care conferences, and care planning.
• Demonstrate excellent communication skills across written, verbal, and electronic platforms, including email and specific software applications used within the organization.
• Work with community organizations to secure durable medical equipment, obtain health insurance authorizations, and arrange patient transportation.
• Participate in the management of the length of stay of an inpatient hospital population.
• Possess knowledge of hospital reimbursement methods and quality measures relevant to the care management department.

Education/Licensure/Certifications/Qualifications

• Associate or Bachelor’s degree in Nursing.
• 3-5 years of clinical experience in medical/surgical nursing, home care, hospital case management, and/or previous utilization review experience.
• Utilization review and discharge planning experience is required.
• Certification by a nationally recognized case management or utilization review organization is preferred.
• Must maintain an active Basic Life Support (BLS) certification. Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification is preferred.

Shift Information

Variable shifts: 8:30 AM – 4:30 PM or four ten-hour shifts from 7:30 AM to 5:00 PM. Weekend and holiday rotation required.

Minimum Years of Experience

3 years

Certifications / Requirements

• BLS/BCLS certification required.
• CCM or ACM certification preferred.