Care Manager RN at Central Maine Medical Center

1 month ago


Rumford, Maine, United States DirectEmployers Full time
Job Summary

The Care Manager RN is a key member of our team at Central Maine Healthcare, responsible for assessing, planning, implementing, and evaluating the needs of patients for discharge planning and utilization review. This includes patients with Medicare, Medicaid, HMO, or private insurance coverage.

Key Responsibilities
  • Perform all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
  • Communicate with physicians regarding discharge-planning needs and assist in facilitating post-hospital care.
  • Responsible for performing assessments on Medicare, Medicaid, and high-risk patients to determine discharge planning needs and document assessments.
  • Communicate daily with admissions personnel regarding admissions and discharges to various units/facilities and consult other departments as appropriate.
  • Initiate ongoing communication with patients and their families to assess discharge needs and provide resources/assistance as necessary.
  • Interact professionally with patients/families and involve them in the formation of the plan of care.
  • Document discharge planning in an ongoing manner, meeting current standards and policies.
  • Cooperate with Case Manager's activities with the insurance company based on information received.
  • Maintain and respect the confidentiality of patient/physician/personnel information.
  • Participate in Utilization Management Committee, CQI, and other meetings as appropriate.
  • Mentor, educate, guide, and monitor nursing staff in the delivery of nursing care/practice.
Requirements
  • Graduate of an accredited school of nursing with up to six (6) months of Registered Nurse experience.
  • Current RN license within the state of practice.
  • Current American Heart Association Healthcare Provider BLS required. BSN or equivalent experience required.
  • Knowledgeable of criteria for Medicare, Medicaid, HMO, and private insurance coverage.
  • Maintains current knowledge of resources available within the community and maintains supply of resource materials.
About Central Maine Healthcare

Central Maine Healthcare is a non-profit organization committed to delivering exceptional care and improving our community. We strive to create an exceptional experience for our patients, their families, and the community. We are a growing organization with a broad footprint, including three hospitals and over 75 individual practices within our Medical Group.



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