RN Case Manager: Care Coordination & Discharge Lead

Beth Israel Lahey Health; Needham (MA); On-site; USD 51,000 - 128,000; Full time

Job summary

Beth Israel Lahey Health is seeking an experienced RN Case Manager to coordinate care across medical, surgical, ICU, ED, PACU, and outpatient services in Needham, MA. This role emphasizes discharge planning, utilization review, and collaboration with a multidisciplinary team to ensure safe, effective care and appropriate levels of service.

The CM will review records, develop care plans using Interqual criteria, educate clinicians on levels of care, and support transitions from hospital to home

Qualifications

• Associate's degree in Nursing required; Bachelor's degree preferred.
• RN license required.
• 3-5 years related work experience in Acute care or managed care with two years in case management.
• Knowledge of discharge planning and utilization review including Interqual criteria and federal/state requirements.
• Experience with computer systems including MS Office and web-based applications.

Responsibilities

• Performs utilization management, care coordination, and discharge planning for assigned patient caseload.
• Coordinates and reviews medical records for severity of illness and intensity of service using Interqual criteria to meet regulations.
• Utilizes the case management process to create care plans for assigned patients.
• Facilitates multidisciplinary collaboration on a daily basis.

Skills

RN License

Case Management

Discharge Planning

Interqual Criteria

Microsoft Office

EHR Systems

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing preferred

Tools

Outlook

Word

Excel

PowerPoint

Access

Job description

Beth Israel Lahey Health is seeking an experienced RN Case Manager to coordinate care across medical, surgical, ICU, ED, PACU, and outpatient services in Needham, MA. This role emphasizes discharge planning, utilization review, and collaboration with a multidisciplinary team to ensure safe, effective care and appropriate levels of service.

The CM will review records, develop care plans using Interqual criteria, educate clinicians on levels of care, and support transitions from hospital to home