Care Manager (RN) - Discharge Planning

PD/Days/Weekends Ony

Summary

The purpose of the Case Manager I position is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This work is performed under general supervision in accordance to the Maine Medical Center (MMC) institutional policies and Care Management Department policies.

The Case Manager I is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include but are not limited to:•Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to address barriers to timely and efficient care delivery, flow and reimbursement•Application of process improvement methodologies in evaluating outcomes of care•Support and coaching of clinical documentation efforts •Coordinating communication with the interdisciplinary care team Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

Education

BSN or must matriculate into a BSN program within one year of hire and completion attained within 5 years of hire. License/

Certifications

Current and valid license to practice as a Registered Nurse in the state of Maine. Professional certification as a Case Manager preferred.

Experience

One to three years clinical experience in clinical practice area, three to five years preferred. Excellent interpersonal communication and negotiation skills. Strong analytical, data management and PC skills.

Working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement preferred. Understanding of pre-acute and post-acute venues of care and post-acute community resources preferred. Strong organizational and time management skills.

Ability to work independently and exercise sound judgment in interactions with interprofessional team, payors, and patients and their families. Demonstrate commitment to organizational values. Perform duties in a manner to promote quality patient care and customer service/satisfaction, while promoting safety, cost efficiency, and a commitment to the quality process.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package.

The pay range for this position is $41.34 to $60.22 per hour.

Compensation for part-time positions is determined on a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable

• shift differentials or other incentives.

If you have questions about this role, please contact nicole.chapman@mainehealth.org

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org.

Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.