Care Manager RN

1 week ago


Garland, Maine, United States Optum Full time
About the Role

This is a challenging and rewarding opportunity to join our team as a Care Manager RN at Northern Light Health, in strategic partnership with Optum. As a Care Manager RN, you will play a critical role in coordinating patient-centered care across the continuum, developing safe discharge plans, and ensuring optimal transitions in care.

Key Responsibilities
  • Lead the coordination of patient-centered care across the continuum, ensuring seamless transitions and optimal outcomes.
  • Develop and maintain collaborative relationships with healthcare teams, including physicians, nurses, and other healthcare professionals.
  • Facilitate efficient utilization of resources, reducing length of stay, improving patient flow, and limiting variation through innovative and evidence-based practices.
  • Develop and maintain knowledge of community resources, policies, and procedures to ensure optimal discharge planning.
  • Interface with department directors, Risk Management, and patient representatives to identify potential QA or risk issues, and perform necessary investigations, documentation, and follow-up.
Requirements
  • Associate's Degree (or higher) in Nursing.
  • Current, unrestricted RN license in the state of Maine.
  • 3+ years of experience in a hospital, acute care, or direct care setting.
  • Intermediate level of ability to type and navigate a Windows-based environment.
Preferred Qualifications
  • Bachelor's Degree (or higher) in Nursing (BSN).
  • Background in managed care.
  • Case management experience.
  • Certified Case Manager (CCM) and/or American Case Management Certification (ACM).
  • Experience or exposure to discharge planning.
  • Experience in utilization review and concurrent review.
About Us

Northern Light Health is a statewide health care system in Maine, working to personalize and streamline health care for our communities. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


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