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RN Case Manager

1 month ago


Cambridge, Massachusetts, United States Cambridge Health Alliance Full time
Job Title: RN Case Manager

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.
Requirements:
  • Education: Bachelor of Science in Nursing (BSN) degree preferred.
  • Licensure and Certifications: Current Massachusetts RN license.
  • 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.

Cambridge Health Alliance is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is free from discrimination and harassment. We are an affirmative action employer and are committed to working with all employees to provide a work environment that is inclusive and respectful of all individuals.