Determines, prioritizes, provides, and/or arranges for needed internal and external services/interventions.
Consults with multidisciplinary teams regularly to evaluate patients' status and appropriateness of medical care, including admission, length of stay, transfer, and discharge.
Participates in discharge planning, including coordinating patient transfers to other facilities and coordinating community resources.
Provides discharge education and resource referrals to patients.
Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
Requirements
Active Maine RN licensure or ability to obtain same in a timely fashion.
At least 1 year of RN experience is preferred.
Previous Care Management experience preferred.
Excellent teamwork, communication, and collaboration skills.