Care Coordination Nurse - Remote

Lensa; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

A leading organization is seeking a Care Coordination Nurse to manage high need MaineCare members remotely. This RN/LPN role involves collaborating with hospitals, conducting clinical reviews, and developing targeted care plans. Applicants must be licensed in Maine and have a minimum of three years’ experience.

Benefits

Health insurance

Flexible working hours

Competitive salary

Qualifications

• Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Maine.
• Minimum 3 years nursing experience.

Responsibilities

• Develop and implement care plans to reduce ER usage for MaineCare members.
• Educate providers and members on available resources.
• Monitor work queues and complete assigned tasks.

Skills

Professional nursing practice knowledge

Effective communication

Critical thinking skills

Ability to maintain professionalism

Education

Registered Nurse (RN) or Licensed Practical Nurse (LPN) license

Job description

20 hours ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, Staffing Solutions Organization LLC, is seeking professionals. Apply via Lensa today!

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

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 a 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:

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

Knowdedge And Certification Requirments

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

Skills And Abilities Required

• Knowledge of state and federal and resources.
• Knowledge of state licensing and federal certification regulations for health care providers.
• Knowledge of federal and state accreditation commissions and standards.
• Knowledge of Department policies and procedures.
• Knowledge of the Maine Medical Assistance Manual.
• Ability to interpret and apply federal and state rules and regulations.
• Ability to provide technical assistance.
• 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 a 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.

Job Details

Pay Type Hourly

Education Level Certification

Travel Required No

Telecommute Percentage 100

Hiring Max Rate 35.18 USD

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x

Sign in to set job alerts for “Nurse” roles.

Santa Monica, CA $68,000.00-$72,000.00 3 weeks ago

Transitions of Care RN- 100% Remote, CareBridge

Telehealth Triage Registered Nurse (New York + Compact State RN License Required)

Want to work with us but don't see the right job listed?

Remote RN Telephone Triage (NYS license required)

Williamsville, NY $68,000.00-$71,500.00 8 months ago

Transitions of Care RN- 100% Remote, CareBridge

Clinical Review Nurse/Prior Authorization

Texas, United States $38.00-$43.00 3 days ago

Transitions of Care RN- 100% Remote, CareBridge

Transitions of Care RN- 100% Remote, CareBridge

Remote Registered Nurse (RN) Case Manager

Remote Registered Nurse (RN) Case Manager

Virtual Clinical Educator- Call Center RN

Remote Registered Nurse (RN) Case Manager

Transitions of Care RN- 100% Remote, CareBridge

Remote Registered Nurse (RN) Case Manager

Remote Registered Nurse (RN) Case Manager

Remote Registered Nurse (RN) Case Manager

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.