Description

American Traveler is seeking an experienced RN Care Manager for a 13-week hospital-based assignment in York, Maine, requiring utilization management and discharge planning experience.

Details

• Hospital-based care management role working house-wide across an inpatient population in Southern Maine
• Variable shift schedule: either 8:30 AM–4:30 PM (8-hour shifts) or 7:30 AM–5:00 PM (four 10-hour shifts per week)
• No on-call requirements
• Weekend and holiday rotation required
• 40 hours per week

Requirements

• Active ME or compact RN license currently in hand
• Current BLS/BCLS certification required; CCM or ACM certification preferred
• Minimum 3 years of clinical experience in medical/surgical nursing, home care, hospital case management, and/or utilization review
• Utilization review and discharge planning experience required
• Associate or Bachelor's degree in Nursing required

Additional Information

• Coordinate concurrent utilization management activities across the hospital, serving as the primary link between patients, the healthcare team, and payors throughout the hospital stay
• Conduct patient needs assessments, identify transition resources, and secure necessary services for next-level care
• Collaborate with and lead an interdisciplinary team during daily care rounds, care conferences, and care planning
• Work with community organizations to arrange durable medical equipment, insurance authorizations, and transportation
• Apply knowledge of hospital reimbursement methods and quality measures relevant to care management
• Strong written, verbal, and electronic communication skills required, including proficiency with hospital software applications