Case Manager RN - Per Diem

Northeast Hospital Corporation; United States; On-site; USD 50,000 - 109,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Case Manager to coordinate care for patients, families and the care team. You will perform concurrent and retrospective reviews to ensure appropriate utilization and guide safe discharge planning.

BSN preferred; Massachusetts RN licensure required; 2–3 years of case management experience preferred; certification in Case Management preferred.

This role operates under a collective bargaining agreement and requires commitment to compassionate, equitable care.

Qualifications

• BSN preferred; Massachusetts RN licensure required; 2–3 years of case management experience preferred.
• Certification in Case Management preferred.
• Knowledge of regulatory requirements and care coordination best practices.

Responsibilities

• Coordinate care for patients, families, and the care team with a focus on appropriate utilization.
• Perform concurrent and retrospective reviews to prevent denials and optimize outcomes.
• Coordinate safe discharge planning between providers, patients, families, insurers and continuing care agencies.
• Ensure compliance with applicable standards and participate in ongoing quality improvement.

Skills

Case management

Care coordination

Regulatory compliance knowledge

Education

BSN preferred

Massachusetts RN licensure

Certification in Case Management preferred

Tools

EHR systems

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. WE CARE by fostering the wellbeing of a health-focused workplace that supports work-life balance, empathy in understanding others' perspectives, collaboration for extraordinary results, accountability to achieve collective goals, respect for diversity and inclusiveness, and equity by ensuring everyone has the opportunity to reach their full potential.

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

$36.00 - $79.12 This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage 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.