RN Case Manager needed for a contract position in Bangor, Maine.
Monday through Friday 8:00am to 4:30pm
- Conduct comprehensive admission and ongoing case management assessments, including medical necessity, level of care validation, and progression of care.
- Drive length‑of‑stay optimization and access day performance through proactive discharge planning and daily interdisciplinary collaboration.
- Ensure CMS‑compliant reviews and form securement, including timely admission reviews, continued stay determinations, IMM and MOON administration.
- Coordinate care transitions, post‑acute placement, to prevent avoidable delays and readmissions.
- Maintain accurate, timely clinical documentation supporting medical necessity, care progression, and regulatory requirements.
- Partner with physicians, nursing, social work, and ancillary teams to resolve barriers to discharge and align care plans.
- Support audit readiness and compliance.
- Monitor high‑risk populations and identify opportunities for early intervention to reduce excess days.
Must have qualifications/experience: RN license, Case Management, patient facing/bedside presence and Cerner EHR experience; acute hospital setting.
TSHL01
Pay: $55.00 - $60.00 per hour
Benefits:
- 401(k)
- Free parking
- Health insurance
- Paid sick time
- Referral program
Work Location: In person
