Nurse Care Manager

We're Hiring! Nurse Care Manager

Families First Community Center (FFCC)
Behavioral Health Home Program – MaineCare Section 92
Location: Ellsworth, Maine

Families First Community Center is seeking a compassionate, organized, and collaborative Nurse Care Manager to join our growing Behavioral Health Home (BHH) team!

At FFCC, we believe that stable housing, physical health, behavioral health, and strong community connections all play an important role in helping individuals and families thrive.

Our Nurse Care Manager serves as a medical resource for our interdisciplinary team, helping ensure that members receive coordinated, person-centered care that addresses their physical and behavioral health needs.

Position Responsibilities

Medical Assessment & Monitoring

• Review medical histories, chronic health conditions, medications, and healthcare needs.
• Identify gaps in preventive care, screenings, and routine medical services.
• Monitor changes in members' health and identify emerging concerns.
• Complete nursing assessments as appropriate.

Medication Management

• Conduct medication reconciliation and review medication adherence.
• Educate members about medications, potential side effects, and safe medication practices.
• Collaborate with providers and pharmacies to address medication concerns.

Care Coordination & Hospital Follow-Up

• Work closely with primary care providers, behavioral health clinicians, specialists, hospitals, and other healthcare partners.
• Review hospital and emergency department discharge information and coordinate appropriate follow-up.
• Communicate relevant emergency department discharge information to the Care Coordinator within 24 hours of notification.
• Help ensure that follow-up appointments, medications, and discharge recommendations are addressed.

Health Education & Preventive Care

• Provide education on chronic disease management, nutrition, physical activity, smoking cessation, sleep, and healthy lifestyle choices.
• Help members access annual physicals, immunizations, preventive screenings, dental care, and other recommended services.
• Develop educational resources that support members in managing their health.

Integrated Behavioral Health Support

• Participate in interdisciplinary care planning and case reviews.
• Consult with Care Coordinators and Case Managers regarding members with complex medical needs.
• Identify members who may require additional medical support or intensive care coordination.
• Accept referrals from Care Coordinators for more individualized nursing support.

Quality Improvement & Documentation

• Monitor preventive care compliance, hospital utilization, and other BHH quality measures.
• Help develop standardized workflows for common chronic conditions.
• Maintain accurate and timely documentation in FFCC's electronic health record in accordance with MaineCare Section 92 requirements and organizational policies.

What We're Looking For

We are seeking someone who:

• Is a licensed nurse in good standing in Maine.
• Has strong clinical assessment, communication, and organizational skills.
• Understands the importance of integrated physical and behavioral healthcare.
• Is comfortable collaborating with an interdisciplinary team and community providers.
• Has experience or interest in chronic disease management, care coordination, and preventive healthcare.
• Is compassionate, resourceful, and committed to helping individuals overcome barriers to healthcare.

Experience with Behavioral Health Homes, MaineCare, community health, or case management is a plus.

Why Join FFCC?

Families First Community Center is a growing nonprofit dedicated to helping individuals and families build healthier, more stable, and independent lives.

Our Behavioral Health Home program takes a whole-person approach, recognizing that meaningful health improvements often require more than traditional medical care.

This is an opportunity to be part of a collaborative team, develop meaningful relationships with community healthcare partners, and help shape a growing program that makes a direct impact on the lives of the people we serve.

Interested in Joining Our Team?

We would love to hear from you!

To apply: Apply on Indeed or email [email protected] with your resume and credentials.

Compensation and Schedule: A few hours per week/month, varying. This is for someone who has other employment and can fit this in as an additional position. Some of your hours will be in person and others on zoom.

Families First Community Center is an equal opportunity employer.

Pay: $26.70 - $35.00 per hour

Expected hours: 2.0 – 4.0 per week

Work Location: Hybrid remote in Ellsworth, ME 04605