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Care Manager RN - Per Diem - National Remote
UnitedHealth Group - Chelsea, ME
posted about 2 months ago
About the position
The Care Manager, RN at Northern Light Health plays a crucial role in coordinating patient-centered care across the healthcare continuum. This position involves developing safe discharge plans in collaboration with patients, caregivers, and a multidisciplinary healthcare team, ensuring optimal transitions in care and resource utilization. The role emphasizes improving patient flow, reducing length of stay, and minimizing readmission risks through effective clinical care coordination. The Care Manager will also engage in telecommuting, providing flexibility while addressing complex patient care challenges.
Responsibilities
- Effectively problem-solve and actively pursue resolution.
- Directly communicate with staff, physicians, patients, and families.
- Role model leadership behavior through courtesy, respect, and efficiency.
- Coordinate patient care processes to achieve desired quality outcomes and identify/controls inappropriate resource utilization.
- Facilitate patient and family education and promote continuity of care to achieve optimal patient outcomes.
- Assure patient rights by offering a choice when appropriate.
- Review the patient plan of care with the multi-disciplinary team.
- Facilitate and participate in multi-disciplinary team care conferences for patients with complex problems.
- Communicate in the medical record and verbally with the team to coordinate interventions and facilitate continuity of care.
- Daily communication and collaboration with patient care staff to provide continuous assessment, evaluation, and continuum planning.
- Facilitate the implementation of nursing interventions as indicated by the multi-disciplinary team plan of care.
- Function without direct supervision, utilizing time constructively and organizing assignments for maximum productivity.
- Arrange schedule to facilitate meetings with physicians for patient care rounds, team meetings, and other opportunities to improve communication.
- Adhere to name badge/dress code compliance.
- Interface with department directors, Risk Management, and patient representatives to identify potential QA or risk issues.
- Perform any necessary investigation, documentation, and follow-up as required.
- Participate in departmental SQI projects.
Requirements
- Associate's Degree (or higher) in Nursing.
- Current, unrestricted RN license in the state of residence.
- 3+ years of experience in a hospital, acute care, or direct care setting.
- Intermediate level of proficiency with typing and navigating a Windows based environment.
Nice-to-haves
- Bachelor of Science in Nursing (BSN) (or higher).
- Background in managed care.
- Case management experience.
- Certified Case Manager (CCM).
- Experience or exposure to discharge planning.
- Experience in utilization review and concurrent review.
- Knowledge/understanding of community resources, policies, and procedures.
- Knowledge of Utilization Review, Medicare Requirements processes, and State and Federal regulations pertaining to Utilization Review and Discharge Planning.
Benefits
- Comprehensive benefits package.
- Incentive and recognition programs.
- Equity stock purchase.
- 401k contribution.
