RN Case Manager
2 weeks ago
Time Type: Part time
Work Shift: Day (United States of America)
FLSA Status: Non-Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
32 hpw; 8-hr shifts (8a-4:30p flex); rotating weekends and holidays
Job Description:
Duties/Responsibilities:
- Identifies continuing care needs through assessment, interdisciplinary care rounds and/or requests.
- In collaboration with patients, families and community services establishes a coordinated discharge plan based on the patient's transition needs.
- Coordinates continuing care services to include skilled nursing, durable medical equipment and community services.
- Interfaces with aftercare providers to ensure smooth transition with the post discharge plan of care.
- Conducts ongoing assessment to determine the continued need for acute care, and appropriateness/timeliness of treatments/procedures to optimize reimbursement.
- Collaborates with the UR team regarding level of care determination/LOS.
- Coordinates continuing care for SDC, ED and other outpatient areas on request.
Education/Experience Required:
- Current MA RN License
- Bachelor's Degree in Nursing or advanced degree in healthcare preferred.
- CCM certification preferred.
- A minimum of 1 year case management experience working independently in an acute or post-acute setting or a minimum of 1 year experience independently coordinating transitions of care in the healthcare setting with knowledge of community resources.
- Ability to identify appropriateness of patients admission and level of care needs (inpatient and observation) utilizing Interqual criteria.
- Knowledge of Interqual and Allscripts systems preferred.
- Strong interpersonal and negotiations skills demonstrated by a positive attitude, pleasant, professional and cooperative demeanor with patients, physicians, fellow employees, and insurance companies.
- Computer skills, including Microsoft Outlook, Word, Excel and Meditech.
- Ability to work independently.
- Massachusetts RN License.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
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