RN Hospital Inpatient Case Manager- Wing

Baystate Health • Ware, MA • 2w ago

The RN Hospital Case Manag er is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans.

Full Time - 40 hours

Responsibilities:

Facilitates patients care plan as called for in the plan of care

Leads daily patient care huddles with nursing to direct timely progress along the continuum

Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients health care and transitional needs. Su

Evaluates and ensures appropriateness of admissions and continued stay using evidence based criteria

Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties

Leads discussions with Physician advisors and MD's about safe plan for transitions

Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate

Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan

Conducts extensive assessments and implements interventions for patients at risk for readmissions

Manages concurrent denials and works with physicians to overturn for appropriate reimbursement

Required Work Experience:

BSN Strongly preferred

3-5 years clinical Nursing experience

Hospital Case Management, Care Coordination experience strongly preferred

Skills and Competencies:

Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers

Ability to organize and prioritize workload in order to meet deadlines

Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate

Excellent computer skills

Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate

Schedule & Location

FT 401 hours Monday - Friday and rotating weekends/holidays

Advantages of Working with Baystate Health

Established career ladders with guaranteed compensation increases.

Excellent Benefits, Compensation and generous PTO

Nursing forgivable loan program

First time home buyers' program

High-quality, low-cost medical, dental and vision Insurance

Competitive 403b retirement match

Wellbeing programs that include but are not limited to mental, physical and financial health.

We strive to be the place where we can help you build the career you deserve - apply today - YOU belong at Baystate!

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.

DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.

Education:

Bachelor of Science (Required)

Certifications:

Registered Nurse - State of Massachusetts

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

Similar Jobs

Medical Receptionist

Robert Half • Wilbraham, MA • 3d ago

Hospital & Medical

Description We are looking for a Medical Receptionist to join our team on a contract basis in Wilbraham, Massachusetts. The ideal candidate will provide exceptional administrative support while ensuring a welcoming en...

3d ago

Go to Apply

RN, Quabbin Adult Medicine- Belchertown

Baystate Health • Palmer, MA • 2w ago

Hospital & Medical

SIGN ON BONUS for RN with 1 year experience Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Practices, the largest multispecialty group in the region is l...

2w ago

Go to Apply

Physical Therapist

Baystate Health • Palmer, MA • 2w ago

Hospital & Medical

Outpatient Physical Therapist Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Rehabilitation, a comprehensive rehab program providing services throughout western...

2w ago

Go to Apply

Medical Front Office - Patient Service Specialist

Select Medical • Indian Orchard, MA • 2w ago

Hospital & Medical

Overview Position: Patient Service Specialist Location: Indian Orchard, MA Type of Employment: Part Time Schedule: Weekdays - 8 or 9am to 6 or 6:30 pm Compensation: Starting at $16/hour (Pending experience)...

2w ago

Go to Apply

Medical Front Office - Patient Service Specialist

Select Medical • Palmer, MA • 2w ago

Hospital & Medical

Overview Position: Patient Service Specialist Location: Palmer, MA Type of Employment: Part Time Schedule: Weekdays - 8 or 9am to 6 or 6:30 pm Compensation: Starting at $16/hour (Pending experience) When pa...

2w ago

Go to Apply

Mental Health Therapist

Included Health • Contract • Massachusetts • 3w ago

Hospital & Medical

Included Health (formerly Doctor on Demand + Grand Rounds Health) is seeking a 100% Remote Mental Health Therapist licensed in Massachusetts to join our team of dedicated mental health clinicians, under the guidance o...

3w ago

Go to Apply

Groundperson - NON-UNION

Utilities Service, LLC • Belchertown, MA • 4d ago

Description " Groundperson The groundperson is responsible for gathering and feeding brush & debris into a woodchipper, scanning areas from trip and fall hazards, ensuring other workers stay out of the path of...

4d ago

Go to Apply

Sales Merchandiser

Anderson Merchandisers • Spencer, MA • 6d ago

Retail & Hospitality

WE ARE LOOKING FOR GREAT PEOPLE TO JOIN OUR TEAM- just like you! Our associates have a lot in common. They have great interpersonal skills, enjoy working independently, are self-motivated, and have a relentless drive...

6d ago

Go to Apply

Retail Sales Associate

Anderson Merchandisers • Fiskdale, MA • 6d ago

Retail & Hospitality

6d ago

Go to Apply

Retail Sales Associate

Anderson Merchandisers • Oakham, MA • 6d ago

Retail & Hospitality

6d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.