Care Manager RN

Position Overview

Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with patients/caregivers and multidisciplinary healthcare teams. Facilitates appropriate length of stay (LOS), patient experience, and reimbursement for all patients. Provides leadership in patient-centered care coordination across the continuum. Develops safe discharge plans and arranges appropriate post-discharge services. Drives appropriate DRG length of stay, patient experience, and reimbursement. Promotes patient advocacy in an independent care model.

Primary Responsibilities

• Maintains knowledge of care management, care coordination, authorizations, and regulatory requirements
• Assesses physical, psychosocial, and economic needs for transition of care planning
• Documents and validates data required to monitor and evaluate interventions and outcomes
• Communicates with outpatient providers to enhance the continuum of care
• Integrates performance improvement and customer service principles
• Adheres to hospital policies and state and federal regulations
• Performs other duties as assigned

Required Qualifications

• Current, unrestricted RN license in the state of Maine
• 2+ years of experience in a hospital, acute care or direct care setting
• Ability to type and navigate a Windows based environment
• Proven solid communication skills; written, verbal, and in person
• Ability to develop and maintain positive relationships with internal and external customers
• Demonstrated accountability for decisions and behaviors, exercises critical thinking, clinical rationale, and ethical decision-making
• Willing to work on site at the hospital, Monday - Friday

Preferred Qualifications

• CCM, ACM other certification applicable to care management
• Experience in care management
• Proven knowledge of care coordination, discharge and transition planning, and community resources

Benefits and Compensation

Salary for this role will range from $60,200 to $107,400 annually based on full-time employment. Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution, subject to eligibility requirements.

Equal Employment Opportunity

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Drug-Free Workplace

Candidates are required to pass a drug test before beginning employment.