Care Manager

1 day ago


Manchester, New Hampshire, United States Eastern Connecticut Health Network Full time

Job Summary:

The Care Manager will serve as a liaison between healthcare providers, payers, and patients to ensure seamless transitions of care. This role requires strong analytical and communication skills to coordinate patient care and optimize resource utilization.

Key Responsibilities:

  • Monitor admissions for appropriateness of observation services or inpatient hospitalization using InterQual criteria.
  • Identify patients with discharge planning needs and coordinate necessary services in the home or nursing facility setting.
  • Collaborate with the interdisciplinary team to develop and modify care plans to meet patient needs.
  • Communicate patient clinical condition and care needs to relevant stakeholders.
  • Document thorough assessments of continuing care activities in a timely manner.

Requirements:

  • Graduate of an accredited school of Nursing.
  • Baccalaureate degree in an applicable field required.
  • Current license as a Registered Nurse in the State of Connecticut.
  • Professional certification in case management or clinical specialty preferred.

Experience:

  • At least five (5) years of nursing experience in a medical surgical acute care setting.
  • Additional experience in case management, home care, and utilization review/management preferred.

Competencies:

  • Good analytical, organizational, and interpersonal skills.
  • Ability to communicate effectively in English, both verbally and in writing.
  • Basic proficiency in personal computers.

Eastern Connecticut Health Network



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