Care Manager (RN) - Discharge Planning

MaineHealth•Portland, ME

About The Position

The Case Manager I supports the interdisciplinary team in facilitating patient care, with the objective of enhancing clinical outcomes and patient satisfaction while managing the cost of care and providing timely, accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning under general supervision and in accordance with Maine Medical Center and Care Management Department policies. The Case Manager I is accountable for a designated patient caseload and plans effectively to meet patient needs, manage length of stay, and promote efficient use of resources. The role requires knowledge and skills appropriate to the patients served, including understanding principles of growth and development across different life cycles.

Requirements

BSN, or matriculation into a BSN program within one year of hire and completion within five years of hire.
Current and valid license to practice as a Registered Nurse in the state of Maine.
One to three years of clinical experience in a clinical practice area.
Excellent interpersonal communication and negotiation skills.
Strong analytical, data management, and PC skills.
Strong organizational and time management skills.
Ability to work independently and exercise sound judgment when interacting with the interprofessional team, payors, patients, and their families.
Knowledge and skills necessary to provide care appropriate to the patients served, including knowledge of growth and development principles across different life cycles.
Commitment to organizational values.

Nice To Haves

Professional certification as a Case Manager.
Three to five years of clinical experience is preferred.
Working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
Understanding of pre-acute and post-acute care venues and post-acute community resources.

Responsibilities

Facilitate collaborative management of patient care across the continuum, intervening as necessary to address barriers to timely and efficient care delivery, patient flow, and reimbursement.
Apply process improvement methodologies to evaluate outcomes of care.
Support and coach clinical documentation efforts.
Coordinate communication with the interdisciplinary care team.
Plan for a designated patient caseload to meet patient needs, manage length of stay, and promote efficient utilization of resources.
Perform duties in a manner that promotes quality patient care and customer satisfaction, safety, cost efficiency, and commitment to the quality process.