Patient Placement Case Mgr

Baystate Health; Springfield (MA); On-site; USD 65,000 - 88,000; Full time

Job summary

Baystate Health is seeking an experienced RN to oversee patient throughput and bed placement decisions. You will collaborate with the care team to ensure the right level of care and timely discharge planning across BH hospitals, acting as the clinical decision maker for daily patient flow.

The role requires a Bachelor’s in Nursing, MA RN licensure, and strong critical thinking with excellent communication and organizational skills.

Qualifications

• Licensed RN in Massachusetts (MA)
• 5+ years of acute care clinical nursing, ED/CC strongly preferred
• Knowledge of community resources and Utilization/Quality Review standards
• Strong critical thinking with ability to prioritize in a fast-changing environment
• Excellent interpersonal, organizational, and relationship-building skills

Responsibilities

• Facilitate accurate patient placement based on clinical relevance
• Coordinate bed assignments and patient throughput across BH hospitals
• Act as clinical expert for daily throughput decisions
• Communicate with care teams about level of care and discharge plans
• Support transfer requests for specialty services and ensure timely care

Skills

Clinical nursing

Critical thinking

Interpersonal skills

Utilization/Quality Review

Bed management

Education

Bachelor’s Degree in Nursing

Job description

At Baystate Health we respect the privacy of our candidates and recruits. Please note that we will not contact candidates directly to ask for personal information over the phone, such as date of birth, social security number, or any other private financial information. Learn More

• Responsible for the facilitation of accurate patient placement into the health system based on clinical relevance, with integration of care management skills to support organizational fiscal goals. Supports the patient throughput assistant in daily work and acts as the clinical expert/decision maker for daily throughput for BHS. This clinical expert is responsible for the daily work of integrating clinical and financial components to accurately reflect the appropriate level of care and patient placement decisions. Manages and coordinates BH ED patient admission requests and Regional Transfer Center requests for correct placement into BH hospitals, where care can be provided in the right setting. Work closely with providers for transfer requests seeking specialty services to ensure care can be provided prior to acceptance. Manages all internal flow/throughput for patients who may need to move from one level of care or bed to another. The candidate will be responsible for upholding decision making processes related to management of appropriate bed assignment and patient flow.
• Uses Patient Placement skills, insures that patients move efficiently from access point to appropriate level of care and location. Reviews all cases on admission to identify level of care, potential need for practice guideline utilization, to determine the anticipated LOS and anticipated care needed for each patient. Works with the health care team to proactively evaluate medical, psycho social and physical needs of patient and family, insuring appropriate bed placement for care. Is a resource to members of the health care team for appropriate management as outlined in the evidence based practice guidelines
• Uses Utilization Analysis /Management principles, insures that patient’s site of care delivery is appropriate, in collaboration with other disciplines as necessary. On admission performs utilization analysis using pre-established screening criteria and guidelines, nursing expertise and sound judgment in accordance with departmental policies. Communicates utilization analysis information as appropriate to health care team.
• Uses patient placement knowledge to facilitate and coordinate the request for an appropriate bed, based on level of care and clinical needs of the patient, acts as the patient throughput decision maker. Responsible for upholding decision making processes related to management of appropriate bed assignment. Assesses appropriateness for admission and level of care. Communicates changes in level of care to health care team and facilitates the discussion of plans for delivering care at the appropriate setting. Intervenes as appropriate utilizing departmental policies and communicating excessive length of stay/placement problems/ other issues to department manager.
• Uses Clinical Skills and Knowledge to ensure quality, evidence based care is provided and the patient is assigned to the appropriate level of care with the correct status. Identifies patients needs to appropriately place the patient to the correct unit and BH hospital.

Required Work Experience:

• MA Licensed RN and Bachelors Degree required
• 5 yrs acute care clinical nursing required, ED, Critical Care Experience strongly preferred
• Requires a working knowledge of community resources and Utilization/Quality Review standards. Understanding of the hospitals patient placement guidelines to support patient throughput.
• Critical thinking with the ability to assess and prioritize decisions in a rapidly changing environment.
• Must possess excellent interpersonal skills in order to interact with all levels of health care providers and support staff. Excellent computer, telephone, organizational, and relationship building skills.

Education:

Bachelors Degree in Nursing (Required)

Certifications:

• Registered Nurse – State of MassachusettsState of MassachusettsState of Massachusetts

Compensation

We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role.

Minimum – Midpoint – Maximum

$47.14 – $54.19 – $64.11

Equal Employment Opportunity Employer