Case Manager RN

Job Title: Case Manager RN Location: Presque Isle, ME 04769 Duration: 4+ Months (possibilities of extension) Shift: 08:00 AM - 04:30 PM (Monday - Friday) Job Responsibilities 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. Adhere to policies, standards, and CMS Conditions of Participation. Required Qualifications Bachelor's Degree. RN license. Case Management experience. Patient facing/bedside presence experience. Cerner EHR experience. Acute hospital setting experience. #J-18808-Ljbffr