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Case Manager RN - Bangor, ME

Optum

Bangor, ME
7 days ago
$58,800 - $105,000

Job Description

Join Optum as a Case Manager RN in Bangor, ME, where you'll lead patient-centered care coordination and develop safe discharge plans. Collaborate with multidisciplinary teams to improve patient outcomes and resource utilization while enjoying a comprehensive benefits package.

Key Responsibilities

  • Provide leadership in the coordination of patient-centered care
  • Develop safe discharge plans in collaboration with patients and healthcare teams
  • Facilitate appropriate length of stay and patient experience
  • Drive efficient resource utilization to reduce length of stay and readmission rates
  • Communicate effectively with staff, physicians, patients, and families
  • Educate patients and families on care options and continuity of care

Required Qualifications

  • Associate's Degree (or higher) in Nursing
  • Current, unrestricted RN license in the state of Maine
  • 3+ years of experience in a hospital, acute care, or direct care setting
  • Intermediate level of proficiency to type and navigate a Windows based environment

Preferred Qualifications

  • Bachelor's Degree (or higher) in Nursing (BSN)
  • Background in managed care
  • Case management experience
  • Certified Case Manager (CCM) and/or American Case Management Certification (ACM)
  • Experience or exposure to discharge planning
  • Experience in utilization review and concurrent review
  • Knowledge/understanding of community resources, policies and procedures
  • Knowledge of Utilization Review, Medicare Requirements processes as well as State and Federal regulations pertaining to Utilization Review and Discharge Planning

Benefits & Perks

Paid Time Off and 8 Paid HolidaysMedical Plan options with Health Spending Account or Health Saving AccountDental, Vision, Life & AD&D Insurance, Short-term and Long-term Disability coverage401(k) Savings Plan and Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits