RN Care Coordination Manager

UMass Memorial Health; Worcester (MA); In loco; USD 114.000 - 206.000; Tempo pieno

Descrizione del lavoro

UMass Memorial Health in Worcester, MA is seeking a Nurse Manager to direct the Care Coordination Department, ensuring performance, regulatory compliance, and efficient patient flow. This exempt, full-time leadership role requires a BSN and experience in case management or hospital leadership.

The position oversees staff, develops plans for growth, maintains scheduling, and collaborates with physicians and administrative leadership to meet regulatory requirements and improve care quality.

Competenze

• Licensed RN with BSN required.
• Master's degree or ACM-RN/ CCM preferred.
• One year acute hospital experience as direct care clinician or case manager.
• Experience leading staff or large-scale project implementation.
• Knowledge of DRGs, Medicare regulations, medical necessity criteria, HIPAA, and the Patient Bill of Rights.

Mansioni

• Directs and supervises assigned personnel, including scheduling, orientation, and training.
• Develops budgets and ensures financial goals are met.
• Coordinates task assignments and resolves operational problems.
• Leads staff and aligns efforts with system-wide initiatives and diversity objectives.
• Ensures compliance with Joint Commission, DPH and safety requirements.
• Maintains attendance, and develops plans for growth and change within the department.
• Engages with physicians, executives and department heads to improve care and policy alignment.

Conoscenze

Computer skills

Critical thinking

DRGs knowledge

Medicare regulations

Medical necessity criteria

HIPAA

Patient bill of rights

Formazione

BSN

Master's degree or higher

ACM-RN

CCM

Descrizione del lavoro

UMass Memorial Health in Worcester, MA is seeking a Nurse Manager to direct the Care Coordination Department, ensuring performance, regulatory compliance, and efficient patient flow. This exempt, full-time leadership role requires a BSN and experience in case management or hospital leadership.

The position oversees staff, develops plans for growth, maintains scheduling, and collaborates with physicians and administrative leadership to meet regulatory requirements and improve care quality.