Care Manager RN
About The Position
Overview Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Responsibilities Position Summary: The Care Manager assesses, plans, implements, and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO, or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, nursing, patients, and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers
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.
Responsibilities
- The Care Manager assesses, plans, implements, and evaluates the needs of patients for discharge planning and utilization review.
- Discharge planning is coordinated with physicians, nursing, patients, and significant others who have an ongoing caring relationship with the patient.
- Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers
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What This Job Offers
Job Type
Full-time
