RN Case Manager

500 Baystate Wing Hospital; United States; On-site; USD 98,000 - 133,000; Full time

Benefits offered by this job

Excellent Compensation

Comprehensive Benefits

Continuing Education Reimbursement

Retirement Plan

Job summary

Baystate Franklin Medical Center in Greenfield, MA is seeking an RN Case Manager Per Diem to coordinate clinical care, quality and financial outcomes for a designated patient population. The role leads the interdisciplinary team to develop complex discharge plans and ensure seamless transitions.

BSN preferred with 3–5 years of hospital case management or care coordination experience; strong knowledge of resources and payer/physician communications is required.

Qualifications

• BSN preferred; 3–5 years nursing experience in hospital case management or care coordination.

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 with the health care team to insure appropriate use of hospital resources and patient satisfaction.
• Manages input from health care professionals and conducts assessments for care needs.
• Evaluates admissions and continued stay using evidence-based criteria.
• Collaborates with payers through written and verbal communications.
• Leads discussions with physician advisors about safe transition plans.
• Directs care to other settings when appropriate.
• Collaborates with community case managers to ensure smooth continuum of care.
• Conducts assessments and interventions for patients at risk for readmissions.
• Manages denials and works with physicians to overturn for reimbursement.

Skills

Hospital Case Management

Care Coordination

Interdisciplinary teamwork

Education

BSN Preferred

Job description

RN Case Manager Per Diem 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 Excellent computer skills 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!

• Excellent Compensation
• 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. Typical, 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.

About Baystate Health

Baystate Health (BH) is one of New England’s leading and largest integrated health care organizations, serving a population of nearly one million people throughout western New England. With roots dating back to the founding of Springfield City Hospital in 1873, Baystate Health has been providing high-quality and compassionate health care in western Massachusetts for more than 145 years. With more than 12,000 employees, a medical staff of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health system includes five Massachusetts hospitals and the Baystate Mary Lane Outpatient Center in Ware: Baystate Medical Center in Springfield Baystate Children’s Hospital (located at Baystate Medical Center) Baystate Franklin Medical Center in Greenfield Baystate Wing Hospital in Palmer Baystate Noble Hospital in Westfield