RN Case Manager - Inpatient Case Management CH

Cambridge Health Alliance

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor of Science in Nursing (BSN) degree preferred
  • Current Massachusetts RN license
  • Certification in Case Management preferred
  • American Red Cross (ARC) or American Heart Association (AHA) BLS certification required
  • 3-5 years of medical/surgical RN experience or RN Case Management experience required

Responsibilities

  • Provide clinically-based case management to support effective patient care
  • Collaborate with healthcare team to ensure appropriate resource utilization
  • Confirm medical necessity for patient admission and continued stay
  • Develop a post-acute care plan aligning with patient needs and resources
  • Facilitate patient transitions between inpatient and post-acute care teams

Benefits

  • Full-time employment with a day shift schedule
  • Rotating weekends and holidays
  • Cross-training opportunities within Care Management
  • Work in a supportive and collaborative healthcare environment
  • Commitment to a discrimination-free workplace
Full Job Description
Location: CHA Cambridge Hospital
Work Days: Mon-Fri; 8:00-4:30, rotating weekends and holidays
Category: Registered Nurse
Department: Inpatient Case Management CH
Job Type: Full time
Work Shift: Day
Hours/Week: 24.00
Union Name: MNA Cambridge

Department Description:

Inpatient Case Management provides psychosocial assessments, evaluations, and referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. Cross Training to all areas of Care Management

Summary:

Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the delivery of effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, create a post-acute care plan appropriate to the patient's needs and resources and facilitate this transition in concert with that patient's inpatient and post-acute care teams.

Qualifications/Experience:

  • Education: Bachelor of Science in Nursing (BSN) degree preferred.
  • Current or Conditional MA RN Licensure
  • Certification in Case Management preferred.
  • American Red Cross (ARC) or American Heart Association (AHA)BLS certification required
  • Experience: Hospital Care Management Experience strongly preferred.
  • 3-5 years of medical/surgical RN experience OR 3-5 years of other RN Case Management experience is required.


Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.

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