Adecco Healthcare & Life Sciences is hiring a Registered Nurse Case Manager for our healthcare partner in Bangor, ME.
The anticipated hourly wage for this position is $30.26 per hour. Hourly wage may depend upon experience, education, geographic location, and other factors.
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an Employee Assistance Program (EAP), commuter benefits, Daily Pay, and a 401(k) plan. Our benefits program provides employees the flexibility to choose the coverage options that best meet 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.
Position Overview
We are seeking an experienced Registered Nurse Case Manager to support care coordination and utilization management efforts within an acute care hospital setting. In this role, you will work collaboratively with physicians, nursing staff, social workers, and interdisciplinary teams to ensure appropriate levels of care, optimize patient outcomes, and facilitate safe and timely transitions of care.
The ideal candidate will possess strong clinical assessment skills, case management experience, knowledge of regulatory requirements, and a patient-centered approach to care coordination.
Key Responsibilities
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Conduct comprehensive admission and ongoing case management assessments, including evaluation of medical necessity, level of care validation, and progression of care.
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Perform utilization reviews and monitor patient status to ensure compliance with regulatory and payer requirements.
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Drive length-of-stay optimization and improve access day performance through proactive discharge planning and daily interdisciplinary collaboration.
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Complete timely admission reviews, continued stay reviews, and required documentation in accordance with CMS guidelines.
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Ensure proper administration and documentation of regulatory forms, including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON).
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Coordinate transitions of care, including post-acute placements and community resource referrals, to support successful patient outcomes and reduce avoidable readmissions.
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Collaborate with physicians, nursing staff, social work, and ancillary departments to identify and resolve barriers to discharge.
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Maintain accurate, timely, and compliant clinical documentation supporting medical necessity, progression of care, and regulatory standards.
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Monitor high-risk patient populations and identify opportunities for early intervention to reduce excess hospital days.
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Support audit readiness activities and maintain compliance with organizational policies and regulatory requirements.
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Participate in interdisciplinary rounds and contribute to patient-centered care planning.
Qualifications
Required Qualifications
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Active Registered Nurse (RN) license.
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Previous Case Management experience in an acute care hospital setting.
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Strong patient-facing and bedside clinical experience.
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Experience utilizing Cerner Electronic Health Record (EHR) systems.
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Knowledge of utilization review, discharge planning, care coordination, and medical necessity criteria.
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Strong understanding of CMS regulations and healthcare compliance requirements.
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Excellent communication, critical thinking, and organizational skills.
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Ability to work effectively within interdisciplinary healthcare teams.
Preferred Qualifications
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Prior experience supporting length-of-stay management and care transition initiatives.
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Experience with utilization management and regulatory compliance reviews.
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Familiarity with post-acute care coordination and community resource management.
Physical Requirements
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Ability to sit, stand, walk, and move throughout a healthcare facility during the workday.
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Ability to utilize computer systems and electronic medical records for extended periods.
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Ability to manage multiple priorities in a fast-paced clinical environment.
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Ability to communicate effectively with patients, families, physicians, and healthcare team members.
Schedule
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Monday - Friday
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8:00 AM - 4:30 PM
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Business casual attire
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No travel required
Assignment Details
Desired Skills & Attributes
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Strong clinical assessment and decision-making abilities.
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Excellent communication and interpersonal skills.
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Ability to manage competing priorities while maintaining attention to detail.
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Strong problem-solving and critical-thinking capabilities.
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Commitment to patient-centered care and quality outcomes.
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Ability to work independently and collaboratively within a multidisciplinary team.
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Strong organizational skills and dedication to regulatory compliance.
Pay Details: $30.26 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.
