Public Consulting Group

Registered Nurse - MaineCare

Job Locations US-ME-Augusta
Posted Date 5 months ago(2/3/2022 10:45 AM)
Job ID
2022-7584
# of Openings
1
Category
Customer Service/Support
Type
Regular Full-Time
Practice Area
Health Services

Overview

Registered Nurse - MaineCare

 

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Responsibilities

Registered Nurse - MaineCare (2 Openings)

 

 

 

 

 

 

DESCRIPTION
 
As a Registered Nurse, you will work closely with existing care coordination capacity in the community to maximize the efficient use of state resources to identify and fill in gaps where no care coordination capacity exists for high need MaineCare members. You will partner with hospitals and providers to conduct clinical reviews of members using the Emergency Department (ED) for avoidable reasons identified through claims data and ED daily census. You will educate providers and members on resources available to assist with referrals as needed and will coordinate and participate in community team meetings with providers for MaineCare members that are more difficult to manage. You will collaborate with staff regarding other initiatives within MaineCare.

 

In performing this work your duties will include but are not limited to, the following:  

  • Develop and implement a targeted plan of care to decrease avoidable emergency department usage for MaineCare members.
  • Partner with hospitals to provide ongoing education to MaineCare members and the MaineCare Provider community.
  • Work with other members of the Care Coordination Unit to monitor work queues and complete assigned tasks.
  • Collect data and prepare records, reports and statistical information to assist in the evaluation and measurement of wellness programs and the ED Collaborative
  • Develop plans of care for clinically complex MaineCare members.
  • Attend conferences regularly for wellness initiatives available within the community.
  • Provide outreach to MaineCare members in the community via phone, mail, and fax.
  • Perform other duties and responsibilities as assigned.

 

 

Qualifications

KNOWDEDGE AND CERTIFICATION REQUIRMENTS:

  • Knowledge of the principles and methods of professional nursing practice.
  • Knowledge of current standards of care and practices relating to services provided by health care facilities, agencies, and practitioners.
  • Ability to plan, organize, and direct the work of others.
  • Ability to maintain objectivity and professionalism during unusual and stressful circumstances.
  • Ability to communicate effectively.
  • Ability to write clearly and effectively.
  • Ability to draw valid conclusions, use critical thinking skills, and make independent decisions.
  • Ability to establish and maintain effective working relationships.

FULL PERFORMANCE KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: (These may be acquired on the job and are needed to perform the work assigned).

  • Knowledge of state and federal regulations relative to the qualifications of health care professionals and paraprofessionals.
  • Knowledge of community organizations and resources.
  • Knowledge of state licensing and federal certification regulations for health care providers.
  • Knowledge of federal and state accreditation commissions and standards.
  • Knowledge of Department policies and procedures.
  • Knowledge of the Maine Medical Assistance Manual.
  • Ability to interpret and apply federal and state rules and regulations.
  • Ability to provide technical assistance.
  • Ability to develop and implement corrective actions.

MINIMUM QUALIFICATIONS:  

Licensed Nurse and three (3) years of progressively responsible experience in the field of nursing and/or in the delivery of health care services.

LICENSING/REGISTRATION/CERTIFICATION REQUIREMENTS

Licensed as a Registered Professional Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Maine as issued by the State Board of Nursing. RN is preferred; however, an LPN is acceptable if a RN is not available.

 
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. 

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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