RN Case Manager - Care Transitions & Utilization

Berkshire Health Systems; Pittsfield (MA); On-site; USD 80,000 - 100,000; Full time

Job summary

Berkshire Medical Center, part of Berkshire Health Systems in Massachusetts, seeks an experienced Case Manager to oversee clinical coordination across the hospital stay. You will work with a multidisciplinary team to assess admission needs, arrange services, and monitor utilization to ensure quality and cost outcomes while supporting patients and families.

Responsibilities include transition planning for post-acute care, participation in performance improvement initiatives, and close

Qualifications

• Associate degree in nursing required.
• Bachelor’s degree in nursing within four years of hire.
• RN licensed in Massachusetts.
• CCMACM or Accredited Case Manager within two years of hire.
• RN-BC certification preferred.

Responsibilities

• Review admission and discharge risk assessments for quality, financial, payer and patient satisfaction.
• Coordinate and monitor services and resources for patients throughout hospitalization.
• Participate in performance improvement initiatives and utilization management.
• Perform transition care planning for post-hospital care arrangements.

Skills

Care coordination

Discharge planning

Evidence-based criteria

Regulatory knowledge

Data analysis

Education

Associate degree in Nursing

Bachelor’s Degree in Nursing

Job description

Berkshire Medical Center, part of Berkshire Health Systems in Massachusetts, seeks an experienced Case Manager to oversee clinical coordination across the hospital stay. You will work with a multidisciplinary team to assess admission needs, arrange services, and monitor utilization to ensure quality and cost outcomes while supporting patients and families.

Responsibilities include transition planning for post-acute care, participation in performance improvement initiatives, and close