RN Case Manager

Baystate Health; Greenfield (MA); Hybrid; USD 98,000 - 133,000; Full time

Benefits offered by this job

Health, dental and vision insurance

403b retirement plan

Certification and continuing education

Life insurance

Support for professional development

Job summary

The Hospital Case Manager at Baystate Franklin Medical Center in Greenfield, MA coordinates clinical care, quality and financial outcomes for a defined patient population. This RN-led role leads the interdisciplinary team to develop complex discharge plans and ensure a smooth transition of care within the community.

We offer a supportive environment with ongoing training and development, a focus on work-life balance, and opportunities to collaborate with payers and physicians to optimize

Qualifications

• BSN preferred.
• 3-5 years clinical nursing experience.
• Hospital Case Management, Care Coordination experience strongly preferred.

Responsibilities

• Facilitates patient care plan as called for in the plan of care.
• Leads daily patient care huddles with nursing to direct timely progress along the continuum.
• Insures appropriate use of hospital resources, patient satisfaction, and quality of care; manages input from all health care professionals.
• Conducts assessments to determine patients' health care and transitional needs.
• Evaluates and ensures appropriateness of admissions and continued stay using evidence-based criteria.
• Collaborates with payers through ongoing written and verbal communications to appropriate parties.
• Leads discussions with Physician advisors about safe plan for transitions.
• Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate.
• Collaborates with community case managers to ensure a smooth continuum of care.
• Conducts extensive assessments and interventions for patients at risk for readmissions.
• Manages concurrent denials and works with physicians to overturn for appropriate reimbursement.

Skills

Care coordination

Interdisciplinary teamwork

Organizational skills

Interpersonal communication

Prioritization

Weekend/holiday availability

Education

BSN preferred

3-5 years nursing experience

Hospital Case Management experience

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

The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post-acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. This position is located at Baystate Franklin Medical Center.

Why Choose Baystate Franklin Medical Center?

As an 89-bed, nonprofit community hospital, we are a self-sufficient leader in patient care for Franklin County and surrounding areas.

Baystate Franklin Community Hospital provides a welcoming environment that prioritizes teamwork and professional development. We are committed to supporting our staff through continuous training and development, fostering a fulfilling and rewarding career. Our strong sense of community, both within the hospital and beyond, allows team members to maintain a healthy work-life balance while making a meaningful impact on the lives of our patients every day

Responsibilities:

• Facilitates patients care plan as called for in the plan of care
• Leads daily patient care huddles with nursing to direct timely progress along the continuum
• Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients health care and transitional needs. Su
• Evaluates and ensures appropriateness of admissions and continued stay using evidence-based criteria
• Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties
• Leads discussions with Physician advisors and MD's about safe plan for transitions
• Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate
• Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan
• Conducts extensive assessments and implements interventions for patients at risk for readmissions
• Manages concurrent denials and works with physicians to overturn for appropriate reimbursement

Required Work Experience:

• BSN Preferred
• 3-5 years clinical Nursing experience
• Hospital Case Management, Care Coordination experience strongly preferred

Location

• Baystate Franklin Medical Center, Greenfield, MA

Skills and Competencies:

• Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers
• Ability to organize and prioritize workload to meet deadlines
• Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third-party payers where appropriate
• Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third-party payers where appropriate
• There is a weekend and holiday commitment.

THE ADVANTAGES OF WORKING WITH BAYSTATE!

• High-quality, low-cost medical, dental and vision insurance
• Pet, home, auto and personal insurance
• Certification and continuing education reimbursement
• 403b retirement company match & annual company contribution increase based on years of service
• Life insurance
• Free money coach advice from a certified professional

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum – Midpoint – Maximum

$98,051.00 – $112,715.00 – $133,348.00

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.