Care Coordination Nurse - Remote

Nexxt, Inc.; Augusta (ME); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a Care Coordination Nurse to enhance healthcare delivery for MaineCare members. This role involves developing targeted care plans, collaborating with hospitals, and educating members about available resources. The ideal candidate will have a strong nursing background, excellent communication skills, and the ability to work effectively under pressure. This position offers the flexibility of remote work while requiring an active nursing license in Maine. Join a dedicated team focused on improving healthcare outcomes and making a meaningful impact in the community.

Qualifications

• Active nursing license in the State of Maine is required.
• 3+ years of experience in nursing or healthcare delivery.

Responsibilities

• Develop and implement care plans to reduce emergency department usage.
• Educate providers and members on available resources.
• Collaborate with community teams for effective care coordination.

Skills

Professional Nursing Practice

Critical Thinking

Effective Communication

Knowledge of State and Federal Resources

Ability to Develop Care Plans

Education

Licensed as a Registered Professional Nurse (RN)

Licensed Practical Nurse (LPN)

Job description

Staffing Solutions Organization | Augusta, ME 04332

Care Coordination Nurse in Augusta, ME (Remote)

This position can be Remote, but this person must have an active nursing license in the State of Maine.

Required: Licensed as a Registered Professional Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Maine as issued by the State Board of Nursing. RN is preferred; however, an LPN is acceptable if an RN is not available.

DESCRIPTION:

As a Registered Nurse, you will work closely with existing care coordination capacity in the community to maximize the efficient use of state resources to identify and fill in gaps where no care coordination capacity exists for high need MaineCare members. You will partner with hospitals and providers to conduct clinical reviews of members using the Emergency Department (ED) for avoidable reasons identified through claims data and ED daily census. You will educate providers and members on resources available to assist with referrals as needed and will coordinate and participate in community team meetings with providers for MaineCare members that are more difficult to manage. You will collaborate with staff regarding other initiatives within MaineCare.

In performing this work your duties will include but are not limited to, the following:

1. Develop and implement a targeted plan of care to decrease avoidable emergency department usage for MaineCare members.
2. Partner with hospitals to provide ongoing education to MaineCare members and the MaineCare Provider community.
3. Work with other members of the Care Coordination Unit to monitor work queues and complete assigned tasks.
4. Collect data and prepare records, reports and statistical information to assist in the evaluation and measurement of wellness programs and the ED Collaborative.
5. Develop plans of care for clinically complex MaineCare members.
6. Attend conferences regularly for wellness initiatives available within the community.
7. Provide outreach to MaineCare members in the community via phone, mail, and fax.
8. Perform other duties and responsibilities as assigned.

KNOWLEDGE AND CERTIFICATION REQUIREMENTS:

1. Knowledge of the principles and methods of professional nursing practice.
2. Knowledge of current standards of care and practices relating to services provided by health care facilities, agencies, and practitioners.
3. Ability to plan, organize, and direct the work of others.
4. Ability to maintain objectivity and professionalism during unusual and stressful circumstances.
5. Ability to communicate effectively.
6. Knowledge of regulations relative to the qualifications of health care professionals and paraprofessionals.
7. Knowledge of community organizations.
8. Ability to write clearly and effectively.
9. Ability to draw valid conclusions, use critical thinking skills, and make independent decisions.
10. Ability to establish and maintain effective working relationships.

SKILLS AND ABILITIES REQUIRED:

1. Knowledge of state and federal resources.
2. Knowledge of state licensing and federal certification regulations for health care providers.
3. Knowledge of federal and state accreditation commissions and standards.
4. Knowledge of Department policies and procedures.
5. Knowledge of the Maine Medical Assistance Manual.
6. Ability to interpret and apply federal and state rules and regulations.
7. Ability to provide technical assistance.
8. Ability to develop and implement corrective actions.

MINIMUM QUALIFICATIONS:

Licensed Nurse and three (3) years of progressively responsible experience in the field of nursing and/or in the delivery of health care services.

LICENSING/REGISTRATION/CERTIFICATION REQUIREMENTS:

Licensed as a Registered Professional Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Maine as issued by the State Board of Nursing. RN is preferred; however, an LPN is acceptable if an RN is not available.

This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an Employment Visa at this time.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an e-Verify participant.