RN Case Manager (CM) (Registered Nurse) (Case Manager) (Nurse Case Manager)

Stellarnursinghomes; Winchester (MA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive wages

6 Paid Holidays

Complimentary Employee Meals

Medical Insurance

Dental Insurance

Vision Insurance

Long & Short-term Disability Insurance

Accrued paid time off

401K

Job summary

Stellarnursinghomes in Winchester, Massachusetts is seeking a full-time Nurse Case Manager. The ideal candidate must have a current unencumbered RN license in Massachusetts and at least 5 years of experience in geriatrics. Responsibilities include monitoring HMO patients, obtaining prior approvals for services, and attending family meetings. The position offers a competitive benefits package including medical, dental, vision insurance, and 401K plans.

Qualifications

• Minimum 5 years’ experience working in geriatrics with subacute experience.
• Strong understanding of regulatory agencies/licensure standards.

Responsibilities

• Monitor level of HMO patients on admission and throughout stay.
• Obtain prior approval for all HMO patients for transportation, therapy, etc.
• Track HMO and Medicare days.
• Obtain pre-authorization for special services and equipment.
• Ensure sound clinical and financial outcomes.
• Attend family meetings.

Skills

Knowledge of Medicare, Medicaid, PPS, PDPM, MDS

Clinical background

Case management experience

Education

Current unencumbered State of Massachusetts RN license

Job description

FULL TIME

Qualifications for Nurse Case Manager

• Current unencumbered State of Massachusetts RN license
• Knowledge of Medicare, Medicaid, PPS, PDPM, MDS and third-party payment
• Knowledge of regulatory agencies/licensure standards
• Must have minimum 5 years’ experience working in geriatrics with subacute experience
• Must have strong clinical background
• Case management experience strongly preferred

Responsibilities for Nurse Case Manager

• Monitoring level of HMO patients on admission and throughout stay
• Obtaining prior approval for all HMO patients throughout the facility for transportation, therapy, etc.
• Tracking HMO and Medicare days
• Obtain pre-authorization as needed for special services and equipment
• Ensuring sound clinical and financial outcomes
• Attending family meetings

Benefit Package for Nurse Case Manager

• Competitive wages
• 6 Paid Holidays
• Complimentary Employee Meals and More
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Long & Short-term Disability Insurance
• Accrued paid time off – Full Time Employees
• 401K