RN Case Manager - Inpatient Case Management CH

Cambridge Health Alliance

$85K — $100K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor of Science in Nursing (BSN) degree preferred
  • Current or Conditional MA RN Licensure
  • Certification in Case Management preferred
  • BLS certification from ARC or AHA required
  • 3-5 years of medical/surgical RN experience OR 3-5 years of RN Case Management experience required
  • Hospital Care Management Experience strongly preferred

Responsibilities

  • Provide clinically-based case management to enhance patient care delivery
  • Collaborate with healthcare team to optimize resource utilization
  • Confirm medical necessity for admission and continued stay
  • Develop post-acute care plans in partnership with patients and families
  • Facilitate transitions of care between inpatient and post-acute settings
  • Conduct psychosocial assessments and evaluations for patients and families

Benefits

  • Full-time schedule with day shifts
  • Rotation of weekend duties
  • Involvement in cross-training across Care Management areas
  • Opportunity to work in a dynamic inpatient environment
  • Supportive and collaborative healthcare team atmosphere
Full Job Description
Location: CHA Cambridge Hospital
Category: Registered Nurse
Department: Inpatient Case Management CH
Job Type: Full time
Union Name: MNA Cambridge

Work Schedule: Day
Length Of Shift(s) In Hours: 8
Shift Details: 8-4:30pm
Hours/Week: 0.00
Weekend Requirements: rotation weekends
Holiday Requirements: per protocol
On Call Requirements: n/a

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.

Other Information

  • 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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