Care Manager (RN): Emergency Department

Care Manager (RN): Emergency Department

Portland, ME
MaineHealth Maine Medical Center      
Full Time
              

Relocation assistance offered to eligible candidates!

*Knowledge of both Inter-qual and MCG criteria preferred. Previous Care Manager experience preferred* 

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. 

The hours are variable. 8a -8p or 10a to 10p, for 36 hrs./week followed by three 12-hour shifts and one 8 hr. shift the next week (36 then 44 for a total of 80 hours per pay period). Weekends are required.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: BSN or must matriculate into a BSN program within one year of hire and completion attained within 5 years of hire.
2. License/Certifications: Current and valid license to practice as a Registered Nurse in the state of Maine. Professional certification as a Case Manager preferred.
3. Experience: One to three years clinical experience in clinical practice area, three to five years preferred.
4. Excellent interpersonal communication and negotiation skills.
5. Strong analytical, data management and PC skills.
6. Working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement preferred.
7. Understanding of pre-acute and post-acute venues of care and post-acute community resources preferred.
8. Strong organizational and time management skills.
9. Ability to work independently and exercise sound judgment in interactions with interprofessional team, payors, and patients and their families.
10. Demonstrate commitment to organizational values.
11. 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.

To learn more and apply, please visit https://www.careersatmainehealth.org/jobs/17212310-care-manager-rn-emergency-department or email Nicole.Chapman@mainehealth.org

About MaineHealth:

MaineHealth is a not-for-profit, integrated health system dedicated to its vision: "Working together so our communities are the healthiest in America." Our system includes nine local health networks, a comprehensive behavioral health care network, diagnostic services, home health agencies, and the MaineHealth Medical Group – comprising 1,700 employed clinicians. With a team of approximately 22,000 care professionals, MaineHealth provides preventive care, diagnosis, and treatment to 1.1 million residents across Maine and New Hampshire. Learn more at mainehealth.org

At MaineHealth, we offer benefits designed to support your needs today while providing flexibility for the future. Our comprehensive packages include:

• Competitive health and dental insurance
• Paid parental leave
• A robust retirement program
• Generous paid time off
• And much more!
  
  

A career at MaineHealth means working alongside compassionate professionals who are deeply committed to both their colleagues and the communities they serve. We foster a culture of collaboration, continuous growth, and genuine care – both inside our organization and beyond. Here, your skills will be valued, your contributions will make a difference, and your career will thrive.

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability, or veteran status.