Care Manager (RN) - Discharge Planning

MaineHealth; Portland (ME); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid parental leave

Flexible work policy

Training and education support

Job summary

MaineHealth seeks a Case Manager I at Maine Medical Center to support the interdisciplinary team in coordinating utilization management, care facilitation and discharge planning. The role focuses on improving clinical outcomes, patient satisfaction and cost of care through effective collaboration with payors and care teams.

Qualified candidates have a BSN (or are in a BSN program within 1 year of hire) and an RN license in Maine, with 1–3 years of clinical experience.

Qualifications

• Education: BSN or must matriculate into a BSN program within one year of hire and completion within 5 years.
• License/Certifications: Current Maine RN license; Case Manager certification preferred.
• Experience: 1–3 years clinical practice; 3–5 years preferred.
• Excellent interpersonal communication and negotiation skills.
• Strong analytical, data management and PC skills.
• Knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.

Responsibilities

• Facilitate collaborative management of patient care across the continuum to address barriers to timely and efficient care delivery.
• Apply process improvement methodologies to evaluate outcomes of care.
• Support and coaching of clinical documentation efforts.
• Coordinate communication with the interdisciplinary care team and payors.

Skills

Interpersonal communication

Negotiation

Analytical skills

Data management

Time management

Independent work

Education

BSN or enrolled in BSN program

Job description

Description

Maine Medical Center

Nursing

Req #: 82644

FT/Days

The purpose of the Case Manager I position is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This work is performed under general supervision in accordance with the Maine Medical Center (MMC) institutional policies and Care Management Department policies.

The Case Manager I is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include but are not limited to:

• Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to address barriers to timely and efficient care delivery, flow and reimbursement.
• Application of process improvement methodologies in evaluating outcomes of care.
• Support and coaching of clinical documentation efforts.
• Coordinating communication with the interdisciplinary care team. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

• Education: BSN or must matriculate into a BSN program within one year of hire and completion attained within 5 years of hire.
• License/Certifications: Current and valid license to practice as a Registered Nurse in the state of Maine. Professional certification as a Case Manager preferred.
• Experience: One to three years clinical experience in clinical practice area, three to five years preferred.
• Excellent interpersonal communication and negotiation skills.
• Strong analytical, data management and PC skills.
• Working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement preferred.
• Understanding of pre-acute and post-acute venues of care and post-acute community resources preferred.
• Strong organizational and time management skills.
• Ability to work independently and exercise sound judgment in interactions with interprofessional team, payors, and patients and their families.
• Demonstrate commitment to organizational values.
• Perform duties in a manner to promote quality patient care and customer service/satisfaction, while promoting safety, cost efficiency, and a commitment to the quality process.

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre‑hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [e-mail].

Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well‑being resources for you and your family.

MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best‑in‑class care, apply today.

If you have questions about this role, please contact [e-mail]