RN Case Manager: Care Coordination & Discharge

Beth Israel Lahey Health; Beverly (MA); On-site; USD 80,000 - 176,000; Full time

Job summary

Beth Israel Lahey Health in Beverly, MA seeks a Case Manager to serve as a care coordinator for patients, families, and the health care team, guiding discharge planning and ongoing care options. This role requires nursing licensure in Massachusetts, a BSN preferred, and 2–3 years of case management experience with CCM certification preferred.

You will perform concurrent and retrospective reviews to ensure appropriate utilization and compliance with regulatory standards, while collaborating with

Qualifications

• Graduate of accredited school of nursing.
• Massachusetts RN licensure required.
• 2–3 years of Case Management experience preferred.
• Certification in Case Management preferred.

Responsibilities

• Coordinate care and discharge planning with patients, families, and care teams.
• Perform concurrent and retrospective reviews for utilization and denials.
• Ensure regulatory compliance with eligibility criteria.

Skills

Case management

Care coordination

Regulatory compliance

Education

Graduate of accredited nursing program

BSN preferred

Job description

Beth Israel Lahey Health in Beverly, MA seeks a Case Manager to serve as a care coordinator for patients, families, and the health care team, guiding discharge planning and ongoing care options. This role requires nursing licensure in Massachusetts, a BSN preferred, and 2–3 years of case management experience with CCM certification preferred.

You will perform concurrent and retrospective reviews to ensure appropriate utilization and compliance with regulatory standards, while collaborating with