Registered Nurse -Case Manager

Central Maine Medical Center Inc; Lewiston (ME); On-site; USD 50,000 - 63,000; Full time

Job summary

Central Maine Medical Center in Lewiston, ME is seeking a Registered Nurse for Case Management. This full-time, day-shift role focuses on admission and ongoing care coordination to optimize clinical outcomes and resource use.

The pay range is $36.00 to $46.19 per hour, with competitive benefits. You will oversee the quality and efficiency of patient care from admission through discharge, advocating for patients and coordinating with the care team.

Qualifications

• RN licensure in state and 5+ years post-graduate nursing experience.
• Experience in case management, discharge planning, or nursing management.
• Acute care nursing experience 5+ years preferred.
• Current BCLS certificate preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Basic to intermediate computer skills.

Responsibilities

• Manage admission and concurrent review across care continuum.
• Advocate for cost containment and coordinate with care providers to ensure seamless delivery.
• Ensure medical necessity, intensity of service and severity of illness are documented.
• Coordinate with multidisciplinary teams to optimize patient outcomes.

Skills

Case management

Discharge planning

Nursing management

Computer skills

Milliman Criteria

InterQual Criteria

Education

Registered Nurse license

Licensed Clinical Social Worker (LCSW)

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

• Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
• 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.
• Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
• Current BCLS certificate, preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• 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