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Care Manager RN - Per Diem
UnitedHealth Group - Bangor, ME
posted about 2 months ago
About the position
The Care Manager, RN is responsible for leading the coordination of patient-centered care across the healthcare continuum. This role involves developing safe discharge plans in collaboration with patients, caregivers, and a multidisciplinary healthcare team, ensuring optimal transitions in care and appropriate post-discharge services. The Care Manager aims to improve patient flow, reduce length of stay, and minimize readmission risks through effective clinical care coordination and resource utilization.
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 control inappropriate resource utilization.
- Facilitate patient and family education and promote continuity of care to achieve optimal patient outcomes.
- Review the patient plan of care with the multi-disciplinary team and facilitate care conferences for complex cases.
- Communicate in the medical record and verbally with the team to coordinate interventions and facilitate continuity of care.
- Engage in daily communication and collaboration with patient care staff for continuous assessment and planning.
- Function without direct supervision, organizing assignments for maximum productivity.
- Adhere to name badge/dress code compliance.
- Interface with department directors and Risk Management to identify potential QA or risk issues.
- 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 to type and navigate 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 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
