Care Transitions RN Case Manager — Lead Patient Journeys

Beth Israel Lahey Health; Cambridge (MA); On-site; USD 53,000 - 135,000; Full time

Job summary

Beth Israel Lahey Health and Mount Auburn Hospital seek a Case Manager RN to coordinate patient-centered care across the continuum. You will plan discharges, promote optimal outcomes, and collaborate with physicians, nursing, social workers, and community resources.

Requirements include a BSN, MA RN license, BLS, and 3+ years of acute care experience; CCM/ACM-RN/CMAC are preferred. The role emphasizes WE CARE values and patient-centered care.

Qualifications

• BSN required or obtained within organizational requirements.
• MSN preferred in Nursing, Healthcare Administration, Public Health, or related field.
• Current RN license in MA and BLS certification required.
• Certifications in Case Management encouraged (CCM/ACM-RN/CMAC).
• Minimum three years of acute care nursing experience.

Responsibilities

• Coordinate care across settings with the interprofessional team.
• Lead discharge planning from admission to discharge.
• Advocate for patients while balancing clinical, regulatory, and financial factors.
• Participate in quality improvement and ensure regulatory compliance.
• Maintain accurate EMR documentation and data collection.

Skills

Strong communication

Patient advocacy

Critical thinking

Team collaboration

Discharge coordination

Documentation

Education

BSN required

MSN preferred

Tools

Epic EHR

Job description

Beth Israel Lahey Health and Mount Auburn Hospital seek a Case Manager RN to coordinate patient-centered care across the continuum. You will plan discharges, promote optimal outcomes, and collaborate with physicians, nursing, social workers, and community resources.

Requirements include a BSN, MA RN license, BLS, and 3+ years of acute care experience; CCM/ACM-RN/CMAC are preferred. The role emphasizes WE CARE values and patient-centered care.