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RN Case Manager
1 month ago
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.
Key Responsibilities- Collaborate with other members of the healthcare team to identify appropriate utilization of resources and to ensure reimbursement.
- Utilize criteria to confirm medical necessity for admission and continued stay.
- 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.
- 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.
- 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.
Cambridge Health Alliance is a vibrant, diverse community of healthcare providers dedicated to delivering high-quality, patient-centered care. We are passionate advocates for the underserved and actively partner with our communities to take on challenging public health issues.
We believe that everyone deserves access to high-quality, convenient healthcare, and we are committed to making our vision of better health and equity a reality.
