Case Manager RN - 40 hour Days

Northeast Hospital Corporation; United States; On-site; USD 80,000 - 176,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Case Manager to serve as a care coordinator for patients, families and the care team. You will conduct concurrent and retrospective reviews to ensure appropriate utilization and prevent denials, and you will coordinate discharge options across the health care delivery team, patients, insurers, and continuing care agencies.

The ideal candidate is a BSN-preferred RN with 2-3 years of case management experience and Massachusetts licensure.

Qualifications

• BSN preferred for nursing graduates.
• 2-3 years of Case Management experience preferred.
• Current Massachusetts RN licensure and Case Management certification preferred.

Responsibilities

• Coordinate discharge planning between care team, patients, families, insurers, and continuing care agencies.
• Perform concurrent and retrospective reviews to ensure appropriate utilization and prevent denials.

Skills

Case management experience

Care coordination

Nursing

Education

BSN preferred

Massachusetts RN licensure

Certification in Case Management 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 2-3 years of Case Management experience preferred

Certification/License

Current Massachusetts RN licensure Certification in Case Management preferred

Pay Range

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

At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.