We are seeking an experienced RN Case Manager for a contract opportunity in Presque Isle, Maine. This role is responsible for conducting comprehensive case management assessments, coordinating patient care transitions, supporting discharge planning efforts, and ensuring compliance with CMS regulations and hospital policies within an acute care hospital setting.
The ideal candidate will possess strong clinical assessment skills, acute care case management experience, and the ability to collaborate effectively with interdisciplinary healthcare teams to optimize patient outcomes and length of stay performance.
Location: Presque Isle, Maine
Position type: Minimum 6-month temp/contract role (possible extension)
Schedule: Fully On-Site | Monday - Friday | 8:00 AM - 4:30 PM
Pay Rate: $ 47.37/hour
Primary Responsibilities
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Conduct comprehensive admission and ongoing case management assessments
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Review and validate medical necessity and appropriate level of care
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Monitor patient progression of care and support length-of-stay optimization
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Collaborate daily with interdisciplinary teams to support discharge planning and prevent avoidable delays
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Complete CMS-compliant reviews and documentation, including:
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Admission reviews
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Continued stay determinations
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IMM and MOON administration
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Coordinate care transitions and post-acute placements
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Identify and resolve barriers to discharge in partnership with physicians, nursing staff, social workers, and ancillary departments
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Maintain accurate and timely clinical documentation supporting medical necessity and regulatory requirements
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Monitor high-risk patient populations and identify opportunities for early intervention
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Support audit readiness and regulatory compliance initiatives
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Adhere to all hospital policies, CMS Conditions of Participation, and organizational standards
Required Qualifications
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Active Registered Nurse (RN) license required
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Previous Case Management experience in an acute hospital setting
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Strong patient-facing/bedside clinical experience
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Experience using Cerner EHR required
Preferred Qualifications
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Strong interdisciplinary collaboration and communication skills
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Knowledge of CMS regulations and utilization review processes
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Experience with discharge planning and care coordination
Skills & Competencies
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Clinical assessment and critical thinking
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Care coordination and discharge planning
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Medical necessity review
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Regulatory compliance and documentation
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Time management and organizational skills
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Ability to manage multiple priorities in a fast-paced healthcare environment
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Strong communication and problem-solving abilities
Additional Information
Why work for Adecco?
· Weekly Pay
· 401(k) Plan
· Skills Training
· Excellent medical, dental, and vision benefits
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
IMPORTANT: This role is being recruited for by Adecco's Healthcare & Life Sciences division, not your local Adecco Branch Office.
For opportunities available at Adecco Healthcare & Life Sciences go to https://www.adecco.com/en-us/employers/industries/healthcare-life-sciences
Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/ . The Company will consider qualified applicants with arrest and conviction record.
Pay Details: $47.37 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
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The California Fair Chance Act
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Los Angeles City Fair Chance Ordinance
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Los Angeles County Fair Chance Ordinance for Employers
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San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
