Case Manager RN - 40 hour Days

Beth Israel Lahey Health; Beverly (MA); On-site; USD 80,000 - 176,000; Full time

Job summary

Beth Israel Lahey Health in Beverly, MA seeks a Case Manager to serve as a care coordinator for patients, families, and the health care team, guiding discharge planning and ongoing care options. This role requires nursing licensure in Massachusetts, a BSN preferred, and 2–3 years of case management experience with CCM certification preferred.

You will perform concurrent and retrospective reviews to ensure appropriate utilization and compliance with regulatory standards, while collaborating with

Qualifications

• Graduate of accredited school of nursing.
• Massachusetts RN licensure required.
• 2–3 years of Case Management experience preferred.
• Certification in Case Management preferred.

Responsibilities

• Coordinate care and discharge planning with patients, families, and care teams.
• Perform concurrent and retrospective reviews for utilization and denials.
• Ensure regulatory compliance with eligibility criteria.

Skills

Case management

Care coordination

Regulatory compliance

Education

Graduate of accredited nursing program

BSN preferred

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Description

Case managers serve as the care coordinators for patients, care givers, and families. Their functions include concurrent and retrospective review to ensure appropriate utilization, assessment, prevention of denials, and coordination of discharge options. They are required to follow specific criteria sets to ensure regulatory compliance. They coordinate safe discharge plans between the health care delivery team, patients, families, insurers, and continuing care agencies.

Education/Experience

Graduate of an accredited school of nursing

BSN preferred

Certification/License

2-3 years of Case Management experience preferred

Current Massachusetts RN licensure

Certification in Case Management preferred

Pay Range

$79,691.61 USD - $176,178.38 USD

This position is covered by a collective bargaining agreement. The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

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