Care Manager- RN

Northern Light Maine Coast Hospital |US:

ME:

Ellsworth | Nursing- RN | Full Time

Salary range-  USD

The compensation range listed reflects the range Northern Light Health anticipates relying on in setting the wages for the position. The range may not necessarily include all additional compensation elements available, such as differentials, incentive programs and benefits.

Northern Light Maine Coast Hospital

Department:Care Management

Position is located: Northern Light Maine Coast Hospital

Work Type:Full Time

Work Schedule:7:00 AM to 4:30 PM

Salary Range : $ 36.81 - $55.80

Exempt:
No

Summary
:

This position is responsible for providing care management and discharge planning for the hospitals. Assesses, plans, implements and evaluates the needs of patients for discharge planning and care management. Assumes a leadership role with the interdisciplinary team to achieve optimal clinical and resource outcomes including supervision of care managers and swing coordinators at both/or MCMH/BHMH. Liaison with referring hospitals to consider transfers.

Manage utilization and quality metrics. Coordinates care to minimize the fragmentation of health care delivery systems. This position is committed to the constant pursuit of excellence in improving the health status of the community.

Responsibilities
:

• Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing established Care Management criteria.
• Performs initial and periodic holistic assessments for care managed population. This includes physical, psychological, and environmental as appropriate. The assessment includes a systematic and pertinent collection of data about the health status of the patient. Prioritize patients according to intensity, need and required follow up.
• Formulates and implements a care management plan in collaboration with Member Organizations that addresses the patient's identified needs by assessing the patient/family needs, issues, resources and care goals; determining the choices available to individual patients; educating the patient/family on the choices available.
• Establishes a care management plan that is mutually agreed upon by the health care team and the patient/family. Plans specific mutual self-management goals, objectives and interventions with the patients that are action-oriented and time specific.
• Evaluates the effectiveness of the plan in meeting established care goals; revises the plan as needed to reflect changing needs, issues and goals.
• Collaborates with the healthcare team to revise the care management plan when changes occur. Initiates care conferences to discuss multidisciplinary team responsibilities, patient progress, new problems, etc.
• Maintains knowledge of activity restrictions appropriate to the severity of injury or illness.
• Identifies and effectively utilizes community resources to meet the needs of patients/families. Facilitates patient access to community resources as appropriate.
• Promotes patient self-management and empowers patients/families to achieve maximum levels of wellness and independence. Interacts professionally with patient/family and involves patient/family in the formation of plan of care.
• Collaborates with providers, other healthcare team members to include inpatient facilities, the patient's payer and health system administrators to transitions of care and facilitate care across the healthcare continuum to optimize clinical and financial outcomes.
• Determines and completes appropriate referrals. Serves as a liaison to providers, patients and families for coordination of services.
• Maintains a working knowledge of payer requirements. Develops collaborative working relationships with insurance case managers; negotiates on behalf of…