- Completes the assessment process to identify individual needs and develops a comprehensive case management plan. Gathers information from, but not limited to, patient, family, professional and non-professional care givers, employers and/or health records.
- Regularly monitors information relevant to the case management plan. Concurrent reviews are conducted every 1-3 days for ongoing intensity of service, appropriateness of setting and discharge planning.
- Consistently evaluates the case management plan's effectiveness including reassessment for any significant decline in status and subsequent new planning required prior to discharge.
- Assesses age-specific data regarding patient needs.
- Completes the planning process to determine specific objectives, goals, and actions designed to meet the patient's needs.
- Implements the Case Manager's plan in a timely manner to facilitate accomplishment of the plan objective and goals involving the Physician advisor, as necessary.
- Coordinates and integrates resources as necessary to accomplish the goal of the case management plan with the patient as well as facilitates the Interdisciplinary Team Meetings (ITMs).
- Maintains a ready and current working knowledge of insurance, reimbursement structure, network provider list, approval criteria, and appeals process.
- The Case Manager conducts all negotiations for approval/authorization of services and is accountable to conduct/facilitate with the Physician and/or Physician advisor all Appeals, or denials received. The Case Manager establishes a professional and productive working relationship with payer source case managers.
- Interacts with all members of the health care team, acts as a consultant to other personnel and functions as a liaison among patient, family, and other health care staff throughout the continuum of care.
- Monitors Resource Management protocols and monitors avoidable delays.
- Complies with local, state, and federal laws and regulations.
- Must have an active valid Maine RN license.
- Preferred RN experience of 2 to 3 years.
- Working knowledge of criteria used to assess levels of care within 1 month of hire.
- Meets the unit's annual competency training requirements.
- Obtains BLS certification within 3 months of hire and maintain certification thereafter.
- 6. Obtains ACLS certification within 1 year of hire and maintain certification thereafter.
-
Matrix Medical Network Caribou, ME, United States Part timeOverview · Nurse Practitioner/Physician Assistant · PRN/Part Time - Home Risk Assessments · About Us: · Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health plan members we visit with every d ...
-
Registered Nurse
2 days ago
Department of Veterans Affairs Caribou, ME, United StatesSummary · This Registered Nurse position is located at the Community Based Outpatient Clinic in Caribou, Maine. This is an Intermittent position. · Learn more about this agency · Help · Overview · * Accepting applications · * Open & closing dates · 05/01/2024 to 05/22/2024 · * Sa ...
-
PT Center Store Associate
1 week ago
Hannaford Supermarkets Caribou, United StatesAddress: USA-ME-Caribou-114 High Street · Store Code: Store 08438 Management · Hannaford Supermarkets started out as a fresh produce vendor in Portland, Maine way back in 1883, and is still connected to those early roots as a local market. Hannaford actively seeks out farmers a ...
-
LPN /RN Up to $41/HR + Sign On
1 week ago
Benchmark Senior Living Caribou, United StatesJoin the Bay Square at Yarmouth Nursing team · Full Time, Part Time and Per Diem Opportunities · Work 7a- 3:30p or 11a-7:30p · $32-$41/HR Depending Upon Experience · $2,500 Sign On Bonus for FT/$1,250 for Part Time · Join, stay, and grow with Benchmark. Connect with your calling. ...
-
PT Produce Sales Associate
2 weeks ago
Hannaford Supermarkets Caribou, United StatesAddress: USA-ME-Caribou-114 High Street Store Code: Store 08438 Management · Hannaford Supermarkets started out as a fresh produce vendor in Portland, Maine way back in 1883, and is still connected to those early roots as a local market. Hannaford actively seeks out farmers and ...
-
Matrix Medical Network Caribou, United States Part timeJob Description · Job DescriptionOverview · Nurse Practitioner/Physician Assistant · PRN/Part Time – Home Risk Assessments · About Us: · Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health p ...
-
PT Deli Sales Associate
1 week ago
Hannaford Supermarkets Madawaska, United StatesAddress: USA-ME-Madawaska-58 Main Street · Store Code: Store 08454 Management · Hannaford Supermarkets started out as a fresh produce vendor in Portland, Maine way back in 1883, and is still connected to those early roots as a local market. Hannaford actively seeks out farmers ...
-
FT Deli Service Associate
6 days ago
Hannaford Supermarkets Madawaska, United StatesAddress: USA-ME-Madawaska-58 Main Street · Store Code: Store 08454 Management · Hannaford Supermarkets started out as a fresh produce vendor in Portland, Maine way back in 1883, and is still connected to those early roots as a local market. Hannaford actively seeks out farmers ...
-
Guidance Counseling Manager
1 week ago
Career Systems Development Corporation Limestone, United States:Job Summary: Responsible for managing counseling Staff to insure that needed counseling services are available for and provided to all trainees. · Duties/Responsibilities: · This is a supervisory management position. This position will be required to serve on a rotating basis a ...
-
Academic Instructor
1 week ago
Career Systems Development Corporation Limestone, United States:Job Summary: Performs as an instructor in a regular classroom setting, presenting instructions in designated subject areas. · Duties/Responsibilities: · Conducts and manages academic classes. · Demonstrates and abides by the Company Core Values and the operating principles. · R ...
-
Guidance Counseling Manager
1 week ago
Career Systems Development Corporation Limestone, United StatesJob Description · Job DescriptionDescription:Job Summary: Responsible for managing counseling Staff to insure that needed counseling services are available for and provided to all trainees. · Duties/Responsibilities: · This is a supervisory management position. This position wil ...
-
Property Clerk
1 week ago
Career Systems Limestone, United StatesJob Description Description: Job Summary: Assists in receiving, stocking, shipping and maintaining inventory of all center supplies and equipment. Duties/Responsibilities: Must model the Company Core Values and the operating principles at all times. Must create and sustain positi ...
-
Property Clerk
1 week ago
Career Systems Limestone, United States: Job Summary: Assists in receiving, stocking, shipping and maintaining inventory of all center supplies and equipment. · Duties/Responsibilities: · Must model the Company Core Values and the operating principles at all times. · Must create and sustain positive working relationsh ...
-
CTT Manager
4 days ago
Career Systems Development Corporation Limestone, United StatesJob Description · Job DescriptionDescription:Job Summary: Plans, directs, and supervises the operation of the Vocational Training Department. · Duties/Responsibilities: · Must model the Company Core Values and the operating principles at all times. · Must create and sustain posi ...
-
CTT Manager
3 days ago
Career Systems Development Corporation Limestone, United States:Job Summary: Plans, directs, and supervises the operation of the Vocational Training Department. · Duties/Responsibilities: · Must model the Company Core Values and the operating principles at all times. · Must create and sustain positive working relationships with co-workers. ...
-
CTT Manager
1 day ago
Career Systems Limestone, United StatesJob Type · Full-time · Description · Job Summary: Plans, directs, and supervises the operation of the Vocational Training Department. · Duties/Responsibilities: · Must model the Company Core Values and the operating principles at all times. · Must create and sustain positive ...
-
CTT Manager
4 days ago
Career Systems Limestone, United States: Job Summary: Plans, directs, and supervises the operation of the Vocational Training Department. · Duties/Responsibilities: · Must model the Company Core Values and the operating principles at all times. · Must create and sustain positive working relationships with co-workers. ...
-
nurse practitioner or physician assistant
1 week ago
Matrix Medical Network Presque Isle, ME , USA, United States Part timeOverview · Nurse Practitioner/Physician Assistant · PRN/Part Time - Home Risk Assessments · About Us: · Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health plan members we visit with every d ...
-
Referral Specialist
1 week ago
Northern Light Health Presque Isle, United StatesNorthern Light A.R. Gould · Department: Physician Practice Central Ops · Position is located: North Street Healthcare Mall · Work Type: Part Time Eligible · Hours Per Week: 20.00 · Work Schedule: 8:00 AM to 12:00 PM · Summary: · Referral specialists are responsible for assuring t ...
-
Referral Specialist
1 week ago
Northern Light Health Presque Isle, United StatesNorthern Light A.R. Gould · Department: Physician Practice Central Ops · Position is located: North Street Healthcare Mall · Work Type: Part Time Eligible · Hours Per Week: 20.00 · Work Schedule: 8:00 AM to 12:00 PM · Summary: · Referral specialists are responsible for assuring ...
RN CASE MANAGER 36hr - Caribou, ME, United States - Cary Medical Center
1 day ago
Description
Job TypeFull-time
Description
Status: 36hr/wk
Job Summary:
The Case Manager is accountable for the organization, and resources that are necessary and appropriate for the achievement of patient outcomes within effective time frames. In addition, the Case Manager will coordinate the plan of care among all members of the health care team. Must have ability to practice under minimal supervision to perform the following four essential activities of Case Management: Assessment, Planning, Implementation and Coordination. The Case Manager must assist to reduce practice variations and enhance patient outcomes.
Essential Duties:
Assessment
