Non-Clinical Case Manager (RN III) at Gritter Francona

Augusta, Maine, United States -

Full Time

Start Date

Immediate

Expiry Date

15 May, 26

Salary

0.0

Posted On

14 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Critical Thinking, Analytical Skills, Communication, Interpersonal Skills, Independent Work, Case Management, Utilization Review, Documentation, Software Proficiency, Care Planning, Service Coordination, Regulatory Compliance, Resource Management, Interdisciplinary Collaboration, Critical Thinking Skills, Case Management Principles

Industry

Information Technology & Services

Description

The Non-Clinical Case Manager is designated as key personnel and is responsible for coordinating, monitoring, and evaluating member care services to ensure quality, cost-effectiveness, and compliance with regulatory and organizational standards. This role focuses on care coordination, resource management, and interdisciplinary collaboration rather than direct clinical treatment. The Case Manager must hold Registered Nurse III (RN III) status and demonstrate advanced clinical knowledge, strong critical thinking skills, and expertise in case management principles. Essential Duties and Responsibilities Conduct comprehensive, non-clinical assessments to identify member needs and service gaps Develop, implement, and monitor individualized care plans in collaboration with members, families, providers, and interdisciplinary teams Coordinate healthcare services across multiple providers and settings Facilitate appropriate utilization of healthcare resources Monitor member progress and adjust care plans as needed Ensure compliance with regulatory requirements and organizational policies Maintain accurate and timely documentation of case management activities Provide education and guidance to members regarding available services and community resources Participate in quality improvement initiatives and performance monitoring activities Serve as a liaison between members, providers, payers, and community partners Knowledge, Skills, and Abilities Strong critical thinking and analytical skills Excellent communication and interpersonal skills Ability to work independently and manage multiple cases effectively Knowledge of care coordination models and utilization review processes Proficiency in documentation and case management software systems Ability to interpret clinical information for care planning and service coordination Work Environment Primarily office-based Minimal travel may be required No direct patient care responsibilities Current, unrestricted Registered Nurse (RN) license Designation as Registered Nurse III (RN III) Minimum of two (2) years of case management experience Minimum of three (3) years of clinical nursing experience Strong knowledge of healthcare systems, utilization management, and care coordination practices Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k, IRA) Life Insurance (Basic, Voluntary & AD&D) Paid Time Off (Vacation, Sick & Public Holidays) Short Term & Long Term Disability Training & Development

Responsibilities

The Non-Clinical Case Manager coordinates, monitors, and evaluates member care services to ensure quality, cost-effectiveness, and compliance, focusing on care coordination and resource management rather than direct clinical treatment. Essential duties include conducting non-clinical assessments, developing care plans, coordinating services across settings, and maintaining accurate documentation.