Case Manager RN - Case Management

  • MaineHealth
  • Biddeford, ME 04005, USA
  • Aug 13, 2021
Nursing

Job Description

Summary

Case Management

Previous hospital case management and/or utilization review experience REQUIRED.

Availability to work weekends is a plus.

Must have RN License to do utilization review work.

Hours: Primarily Day/Evening hours - Not overnight

Position Summary

Patient-focused coordination, negotiation, and procurement of necessary resources to address all identified areas of need for facilitation of achievement of quality, cost-effective outcomes. Acts as a patient advocate through collaboration with the patient and the integrative staff, internal and external to the organization. Through this collaboration, the individual's needs are assessed, goals formulated, and a plan of care implemented, monitored, evaluated and modified for positive outcomes. Actively participates in quality improvement and performance improvement processes related to the management of patient care and safety, and utilization of healthcare resources.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

  1. Education: Bachelor Degree or currently matriculating preferred.
  2. License/Certifications: Current RN licensure from the Maine State Board of Nursing required.
  3. Experience: Five years of acute care clinical setting nursing experience preferred. Knowledge and experience in discharge planning, case management and utilization review preferred. Interest and experience in research through review and use of evidence-based practice preferred.
  4. Is responsible for maintaining a current knowledge of the nursing practices contemporary to the legal framework of the Nurses Practice Act, and in accordance with regulatory requirements.