RN Case Manager: Home Health Care & Discharge Planning

Optum; Old Orchard Beach (ME); On-site; USD 75,000 - 113,000; Full time

Job summary

Amedisys, part of the Optum family, is hiring a Nurse Case Manager to guide patients and families through the care continuum, coordinating care and supporting discharge planning. You will work under supervision to ensure appropriate levels of care, educate patients, and collaborate with a Care Advocate and Social Worker.

The role emphasizes in-home care, multidisciplinary teamwork, and ongoing professional development within a supportive environment.

Qualifications

• Current RN license in the state(s) you are assigned to work.
• Current CPR certification.
• 1+ years of clinical experience as an RN.
• Valid driver's license, reliable transportation and liability insurance.

Responsibilities

• Performs patient assessments and collaborates with the care team to develop and implement a plan of care.
• Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so.
• Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.
• Supervises LPNs and HHAs.
• Completes documentation timely and accurately.
• Regularly communicate patient progress to the clinical manager and care team.
• Plans and provides staff education.
• Performs on-call responsibilities and on-call services to patients/families as assigned.
• Participates in clinical development and continuing education programs.
• Other duties as assigned.

Skills

Clinical assessment

Care coordination

Patient education

On-call duties

Education

RN license (state-specific)

Job description

Amedisys, part of the Optum family, is hiring a Nurse Case Manager to guide patients and families through the care continuum, coordinating care and supporting discharge planning. You will work under supervision to ensure appropriate levels of care, educate patients, and collaborate with a Care Advocate and Social Worker.

The role emphasizes in-home care, multidisciplinary teamwork, and ongoing professional development within a supportive environment.