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) preferred.
  • Current Massachusetts RN license required.
  • Certification in Case Management preferred.
  • American Heart Association BLS certification required.
  • 3-5 years of medical/surgical RN experience required.
  • Hospital Care Management experience is strongly preferred.

Responsibilities

  • Provide clinically-based case management under supervision of Director of Care Management.
  • Collaborate with healthcare team to optimize resource utilization and ensure reimbursement.
  • Confirm medical necessity for admission and continued stay using established criteria.
  • Work with patients and families to develop post-acute care plans tailored to individual needs.
  • Facilitate transitions between inpatient and post-acute care teams.

Benefits

  • Day shift schedule from 8:00 AM to 4:30 PM, with weekends on a rotational basis.
  • Opportunity for cross-training in all areas of Care Management.
  • Supportive departmental atmosphere focusing on psychosocial assessments and referrals.
  • Engagement with an interdisciplinary team to enhance patient care delivery.
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: 36.00
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.

Qualifications/Experience:

  • Education: Bachelor of Science in Nursing (BSN) degree preferred.
  • Licensure and Certifications: Current Massachusetts RN license.
  • Certification in Case Management preferred.
  • Current American Heart Association (AHA) for Healthcare Providers BLS (Basic Life Support) certification is 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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