Inpatient RN Case Manager: Care Transitions Lead

Cambridge Health Alliance; Everett (MA); On-site; USD 58,000 - 129,000; Full time

Job summary

Cambridge Health Alliance (CHA) is seeking an RN Case Manager for Inpatient Case Management in Everett, MA. You will provide clinically-based case management to support patient care aligned with regulatory requirements, under the supervision of the Director of Care Management.

The role emphasizes collaboration with care teams, ensuring medical necessity, and coordinating post-acute transitions to optimize outcomes and resource use.

Qualifications

• BSN preferred.
• Current MA RN License.
• AHA BLS certification is required.
• Certification in Case Management preferred.

Responsibilities

• Collaborate with health care team to identify resource utilization and ensure reimbursement.
• Utilize criteria to confirm medical necessity for admission and continued stay.
• Develop post-acute care plan with patient, family and care teams to transition from inpatient to post-acute care.

Education

MA RN License

BLS Certification

BSN preferred

Job description

Cambridge Health Alliance (CHA) is seeking an RN Case Manager for Inpatient Case Management in Everett, MA. You will provide clinically-based case management to support patient care aligned with regulatory requirements, under the supervision of the Director of Care Management.

The role emphasizes collaboration with care teams, ensuring medical necessity, and coordinating post-acute transitions to optimize outcomes and resource use.