Registered Nurse -Case Manager

Prime Healthcare; Lewiston (ME); On-site; USD 50,000 - 64,000; Full time

Job summary

Central Maine Medical Center in Lewiston, ME, is seeking a Registered Nurse – Case Management for full-time daytime hours. You will manage admission review, care coordination, and clinical outcomes across the patient care continuum.

The role requires extensive nursing experience and knowledge of clinical criteria (Milliman, InterQual). Pay ranges from $36.00 to $46.19 per hour, with benefits and competitive compensation based on experience.

Qualifications

• Minimum 5 years work experience post-graduation from an accredited nursing program.
• Current state Registered Nurse license.
• One year or more in case management, discharge planning, or nursing management preferred.

Responsibilities

• Oversee quality and resource management for all admitted patients from admission through the continuum of care, promoting cost containment and care integration.
• Lead multidisciplinary teams to ensure holistic, clinically appropriate, and cost-effective care plans.

Skills

Case management experience

Discharge planning

Nursing management

Education

RN license

BCLS certification

Tools

Milliman Criteria

InterQual Criteria

Job description

Overview

Position: Registered Nurse- Case Management

Schedule: Full-time, Days

Facility:Central Maine Medical Center

Location:Lewiston, Maine, 04240

Pay: $36.00 to $46.19

Central Maine Healthcare (CMH), a member of Prime Healthcare Foundation, is an integrated healthcare delivery system serving approximately 400,000 residents across central, western, and midcoast Maine through a network of more than 40 primary and specialty care locations. The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. CMMC also serves as the central Maine base for LifeFlight of Maine, the state's only medical helicopter service.

CMH also includes Bridgton Hospital and Rumford Hospital, two 25-bed critical access hospitals that provide essential care to Maine's rural communities.

As part of its commitment to healthcare education and workforce development, CMH is home to the Maine College of Health Professions, Maine's first nursing and medical imaging school. The private, not-for-profit institution is accredited by the New England Commission of Higher Education and plays an important role in training the next generation of healthcare professionals.

To learn more, visit www.cmhc.org.

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
4. Current BCLS certificate, preferred.
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
6. Experience and knowledge in basic to intermediate computer skills.

Pay Transparency

Central Maine Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $36.00 to $46.19. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf