RN Case Manager: Care Coordination & Discharge Planning

HAHHH; Milford (MA); Hybrid; USD 115,734,000 - 243,817,000; Full time

Benefits offered by this job

Signing bonus

Job summary

UMass Memorial Health is seeking a Case Manager to coordinate and facilitate the management of care for an assigned group of patients. The role emphasizes early discharge planning, collaboration with the healthcare team, and ensuring a well-coordinated, cost-conscious care experience.

Ideal candidates hold a BSN and Massachusetts RN license, with 3–5 years of clinical experience and strong interpersonal/analytical skills. A CCM certification is preferred and a signing bonus may be offered.

Qualifications

• BSN required; Current Massachusetts RN license.
• 3–5 years of clinical experience with sound judgment and knowledge of current medical care and support systems.
• Preferred: CCM certification.
• Experience in utilization review, quality assurance, or community experience.

Responsibilities

• Assess inpatient admission appropriateness and identify high-risk patients needing referrals.
• Participate in development and monitoring of interdisciplinary guidelines and variance tracking.
• Collaborate with physicians and healthcare providers to improve quality of care and utilization management.
• Facilitate timely discharge through early intervention and coordination of services.
• Monitor compliance, collect utilization data, and identify cases for quality and utilization review.

Skills

Interpersonal skills

Analytical skills

Communication

Education

BSN degree

Massachusetts RN license

CCM certification

Tools

Utilization review experience

Job description

UMass Memorial Health is seeking a Case Manager to coordinate and facilitate the management of care for an assigned group of patients. The role emphasizes early discharge planning, collaboration with the healthcare team, and ensuring a well-coordinated, cost-conscious care experience.

Ideal candidates hold a BSN and Massachusetts RN license, with 3–5 years of clinical experience and strong interpersonal/analytical skills. A CCM certification is preferred and a signing bonus may be offered.