RN Care Manager: Health Plan & Care Coordination

Martin's Point Health Care Inc.; Portland (ME); Remote; USD 87,000 - 107,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Volunteer time off

Pie day

Job summary

Martin's Point Health Care Inc. is seeking a Care Manager to deliver comprehensive, person-centered care management for members and families, collaborating with physicians, hospitals, home health, and community services.

The role emphasizes thorough assessments, evidence-based interventions, and adherence to CMSA/NCQA standards to reduce hospital utilization and improve health outcomes. Strong teamwork and communication are essential.

Qualifications

• Bachelor’s degree in nursing required; MSN preferred.
• 5 years of current clinical experience, ideally in chronic care, home health, or related areas.

Responsibilities

• Conduct advanced nursing assessments for new and existing members.
• Coordinate care with primary care providers and specialists to improve outcomes.
• Document all CM activities accurately in medical records.
• Apply CMSA and NCQA standards to care management processes.
• Demonstrate patient-centered care and strong teamwork in a fast-paced setting.

Skills

Care management

Nursing knowledge

Assessment skills

Communication skills

Team player

Education

Bachelor’s degree in nursing

MSN preferred

Job description

Martin's Point Health Care Inc. is seeking a Care Manager to deliver comprehensive, person-centered care management for members and families, collaborating with physicians, hospitals, home health, and community services.

The role emphasizes thorough assessments, evidence-based interventions, and adherence to CMSA/NCQA standards to reduce hospital utilization and improve health outcomes. Strong teamwork and communication are essential.