RN Case Manager - Milford Regional, 32 hours, Days

UMass Memorial Health; Milford (MA); On-site; USD 84,011 - 176,987; Full time

Job summary

UMass Memorial Health in Milford, Massachusetts, is seeking a dedicated Case Manager to coordinate and facilitate individualized patient care. The successful candidate will work collaboratively with a healthcare team to ensure timely discharge planning and quality care management.

This role requires a BSN and a current Massachusetts RN license, along with 3-5 years of clinical experience. UMass Memorial offers a supportive environment and the potential for a signing bonus.

Qualifications

• 3-5 years of clinical experience with sound judgment and knowledge of current medical care and support systems.
• Previous utilization review, quality assurance, or community experience.
• Strong interpersonal and analytical skills.

Responsibilities

• Evaluate appropriateness of inpatient admission and assess patient needs.
• Participate in the development and monitoring of interdisciplinary guidelines.
• Work with physicians and healthcare providers to enhance quality of care.
• Facilitate timely discharge through early intervention and coordination of services.
• Monitor compliance, collect utilization data, and identify cases for quality review.

Skills

Clinical experience

Interpersonal skills

Analytical skills

Knowledge of medical care

Education

BSN

Current Massachusetts RN license

CCM certification

Job description

Exemption Status: Exempt

Hiring Range: $84,011.20 - $176,987.20

Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.

Schedule Details: Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Monday through Friday, Weekends - Every Third Weekend

Scheduled Hours: 8:00am - 4:30pm

Shift: 1 - Day Shift, 8 Hours (United States of America)

Hours: 32

Cost Center: 26000 - 4402 Case Management

Union: MNA-Milford Regional Medical Center (Massachusetts Nurses Association)

Companies may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process.

In collaboration with other members of the healthcare team, the Case Manager is accountable for coordinating and facilitating the management of care for an assigned group of patients. The goal is to ensure a well-coordinated, individualized care experience through outcome-oriented care within a fiscally responsible framework. This includes early assessment of discharge needs, resource availability, and communication among healthcare team members and families, spanning pre- and post-hospital care.

Major Responsibilities

• Assessment: Evaluate appropriateness of inpatient admission and assess patient needs to identify high-risk individuals and initiate referrals.
• Multidisciplinary Practice Guidelines: Participate in the development and monitoring of interdisciplinary guidelines and variance tracking.
• Collaborative Practice: Work with physicians and healthcare providers to enhance quality of care and utilization management.
• Discharge Planning: Facilitate timely discharge through early intervention and coordination of services.
• Data Management: Monitor compliance, collect utilization data, and identify cases for quality and utilization review.

Position Qualifications

License/Certification/Education (Required):

• BSN
• Current Massachusetts RN license

License/Certification/Education (Preferred):

• CCM certification

Experience/Skills (Required):

• 3-5 years of clinical experience with sound judgment and knowledge of current medical care and support systems
• Previous utilization review, quality assurance, or community experience
• Strong interpersonal and analytical skills

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.