What are the responsibilities and job description for the RN Case Manager position at Equity Staffing Group?
Equity Staffing is searching for an RN Case Manager in the Presque Isle, ME area. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you!
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 Northern Light Health policies and CMS Conditions of Participation.
Required Qualifications:
- Bachelors Degree
- RN license in good standing
- Case Management, patient facing/bedside presence and Cerner EHR experience; acute hospital setting.
- Care Manager experience
Equity Staffing Group is an Equal Opportunity Employer and considers all qualified applicants in accordance with applicable employment laws.