REGISTERED NURSE CASE MANAGER

1 month ago

South Attleboro MA USA, United States Sturdy Memorial Hospital Full time
Working in collaboration with the patient/family/legal representative, social workers, physicians, and interdisciplinary team, the RN case manager is accountable for assessing, coordinating and facilitating patient progression through the continuum of care in an efficient, cost effective manner. The RN Case Manager must achieve this through early assessment of pre-admission level of care, post hospital discharge needs, review of available resource and timely, focused communication with the healthcare team and patient/family/legal representative.

Required Skills/Qualifications/Training/Experience:

* Minimum 3-5 years acute care case management experience, with demonstrated skills in utilization review
* Demonstrated ability to use critical thinking and problem solving skills in facilitating safe and timely patient transitions of care
* Excellent communication skills and positive interpersonal dynamic in working with a variety of stakeholders across the care continuum
* Solid knowledge of all insurance plan regulations including CMS/Medicaid to ensure compliance with all required processes and documentation
* Ability to garner and utilize information effectively to develop and modify patient plan of care
* Strong analytical ability to interpret patient-related information, evaluate appropriateness of continued stay and/or need for ancillary services, and to reassess discharge planning needs based on daily assessment.
* Ability to successfully utilize industry accepted utilization and or medical management criteria in patient status decision making
* Self-starter able to function independently within the scope of position and licensure, as well as department policies and established goals
* Excellent computer skills to accurately document requisite information to support patient status and medical necessity

Preferred Skills/Qualifications/Training/Experience:

* Experience in Meditech and Cerner a plus
* Denials management a plus

Educational Requirements:

* RN Graduate of an accredited school of nursing required; BSN/MSN preferred

License/Certification:

* RN with current Massachusetts license required
* CCM (Certified Case Manager) Preferred
* ACMA (Accredited Case Manager) Preferred

Age Specific Criteria: Ability to effectively communicate to all age levels served within the scope of the position/assigned areas.

Ability to Meet Job Performance Expectations: Must have the ability to perform the essential functions of the position without posing a direct threat to the health and safety of themselves or other individuals in the workplace, with or without a reasonable accommodation.

Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.

  • Travel Nurse RN

    2 weeks ago

    South Weymouth, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in South Weymouth, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/17/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case...

  • Travel Nurse RN

    2 weeks ago

    Gardner, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Gardner, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered...

  • Travel Nurse RN

    2 weeks ago

    Boston, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Boston, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel We are seeking a Registered Nurse-Case...

  • Travel Nurse RN

    2 weeks ago

    Boston, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Boston, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel We are seeking a Case Manager-Registered...

  • Travel Registered Nurse RN Care Management

    2 weeks ago

    South Weymouth, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in South Weymouth, Massachusetts. Specialty: Case Management ~ Shift: 8 hours, days ~ Employment Type: Travel TotalMed Case Management Staffing Job ID #1502100. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation)...

  • Travel Registered Nurse RN Care Management

    2 weeks ago

    Boston, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Boston, Massachusetts. Specialty: Case Management ~ Start Date: ASAP ~ Shift: 10 hours, days ~ Employment Type: Travel We are seeking a Registered Nurse-Case Manager for a travel assignment in Boston Massachusetts. TotalMed Case Management...

  • MS/Tele Registered Nurse

    1 month ago

    Attleboro, MA, 02703, Bristol County, MA, United States TotalMed Full time

    We are seeking a Registered Nurse-Medical Surgical / Telemetry for a travel assignment in Attleboro Massachusetts.

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    3 weeks ago

    Attleboro, MA, United States Core Medical-Perm Full time

    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff   Experience Required: Position requires at least 1 year...

  • Hospice RN Case Manager

    1 week ago

    Attleboro, MA, United States CHN Full time $105,000 - $120,000

    Community Health Network (CHN) has been placing experienced nurses and physical therapists in home care, hospice, and case management for over 30 years. We offer flexible work options and outside of the box opportunities that focus on your needs and interests. Like the look of this opportunity Make sure to apply fast, as a high volume of applications is...

  • Registered Nurse

    1 week ago

    South Weymouth, MA, United States CHN Full time $105,000 - $120,000

    Community Health Network (CHN) has been placing experienced nurses and physical therapists in home care, hospice, and case management for over 30 years. We offer flexible work options and outside of the box opportunities that focus on your needs and interests. Do you have the right skills and experience for this role Read on to find out, and make your...

  • Travel Nurse

    2 days ago

    South Weymouth, MA, United States Nomad Health Full time

    Job Description Nomad Health seeks an experienced Case Management registered nurse for a travel assignment in MA. Take the next step in your healthcare career and join Nomad Health as a Case Management travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team. ...

  • Staff Director Registered Nurse

    3 weeks ago

    Attleboro, MA, United States Core Medical-Perm Full time

    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts. Specialty: Case Management ~ Start Date: ASAP ~ Shift: 8 hours ~ Employment Type: Staff   Shift: 8 Hour Days CoreMedical Group is a nationally recognized leader in the medical recruitment and employment industry. We're the...

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    3 weeks ago

    Attleboro, United States Hiring Now! Full time

    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff Experience Required: Position requires at least 1 year of relevant...

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    7 days ago

    Attleboro, United States Hiring Now! Full time

    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff Experience Required: Position requires at least 1 year of relevant...

  • Travel Registered Nurse RN Care Management

    2 weeks ago

    Boston, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Boston, Massachusetts. Specialty: Case Management ~ Start Date: ASAP ~ Shift: 10 hours, days ~ Employment Type: Travel TotalMed Case Management Staffing Job ID #1487542. Pay package is based on 10 hour shifts and 40 hours per week (subject to...

  • Travel Registered Nurse RN Care Management

    2 weeks ago

    Gardner, MA, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Gardner, Massachusetts. Specialty: Case Management ~ Start Date: ASAP ~ Shift: 8 hours, days ~ Employment Type: Travel TotalMed Case Management Staffing Job ID #1454556. Pay package is based on 8 hour shifts and 40 hours per week (subject to...

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    7 days ago

    Attleboro, United States Core Medical-Perm Full time

    Job DescriptionCore Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: Ongoing40 hours per weekShift: 8 hoursEmployment Type: Staff Experience Required: Position requires at least 1 year of...

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    3 weeks ago

    Attleboro, United States Core Medical-Perm Full time

    Job DescriptionCore Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: Ongoing40 hours per weekShift: 8 hoursEmployment Type: Staff Experience Required: Position requires at least 1 year of...

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    3 weeks ago

    Attleboro, United States Core Medical-Perm Full time

    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: Ongoing40 hours per weekShift: 8 hoursEmployment Type: Staff Experience Required: Position requires at least 1 year of relevant specialty...

  • Staff - Director Registered Nurse (RN) - Case Management - $145K-185K per year

    1 week ago

    Attleboro, United States Core Medical-Perm Full time

    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Attleboro, Massachusetts. Job Description & Requirements Specialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: Ongoing40 hours per weekShift: 8 hoursEmployment Type: Staff Experience Required: Position requires at least 1 year of relevant specialty...