RN Case Manager, Fulltime

Stamford Health Medical Group; Stamford (CT); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive health insurance plans

Wellness programs

Paid Time Off accruals

Tuition Reimbursement

Free on-site parking

Job summary

A healthcare provider in Stamford is hiring a full-time Nurse Case Manager to join their Case Management Team. The role involves coordinating care for patients, ensuring compliance with healthcare guidelines, and advocating for patient needs. Applicants must have a valid RN license in Connecticut, a Bachelor’s degree in nursing, and at least 2 years of acute care experience. The position offers a comprehensive benefits package including health insurance, wellness programs, and paid time off.

Qualifications

• Minimum of 2 years acute care experience in a hospital setting.
• Professional certification in case management or clinical specialty desired.
• Experience with multi-aged and multicultural populations preferred.

Responsibilities

• Coordinate care within the continuum of care among the interdisciplinary team.
• Conduct ongoing assessments to evaluate patient needs.
• Ensure compliance with utilization requirements for various payors.
• Maintain clear communication with all stakeholders regarding patient care.
• Evaluate the effectiveness of interventions.

Skills

Strong clinical experience

Patient advocacy

Communication skills

Assessment abilities

Knowledge of Medicare and Medicaid guidelines

Education

Graduate from an accredited School of Nursing

Valid license as Registered Nurse in Connecticut

Bachelor's degree in nursing

Job description

Stamford Health is hiring a full-time Nurse Case Managerto join our Case Management Team!

At Stamford Health, we believe that every patient deserves compassionate, personalized, person‑centered care. This commitment guides how we care for patients, support their care partners, and promote the wellbeing of our staff. In alignment with our Planetree philosophy, the individual in this role will foster a respectful, collaborative environment that honors the needs, values, and preferences of every person we serve and the colleagues we partner with.

As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer:

• Comprehensive, low-cost health insurance plans (including GLP-1 coverage options) available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Tuition Reimbursement
• Free on-site parking and train station shuttle

Childcare partnership with Children’s Learning Center

Responsibilities

The case manager is responsible for coordinating the care delivered to an assigned group of patients. Assesses, plans, and evaluates the outcomes of care in collaboration with the other members of the health care team. Guides and directs the care given to the patient by the other nurses, and health care team members from other disciplines to ensure that quality and cost‑effective care is given within an appropriate length of stay. Directs the plan of care within the care continuum with patient/family input.

• Assumes responsibility for coordinating patient care within the continuum of care among the interdisciplinary team.
• Provides ongoing assessment in case management of patients to ensure an accurate evaluation of patient needs, appropriate level of care, proper resource utilization, quality of care and risk management.
• Assures compliance with utilization requirements relative to all payor types and contract requirements. Interprets and administers Medicare and Medicaid guidelines for acute care. Assures compliance with federal, state, and local requirements (ADA, Workman’s Compensation, EMTALA).
• Maintains ongoing communication regarding patient care with physicians, referral sources, caregivers, patients, families, etc. to facilitate coordination and transitional care. Communication is effective and clear.
• Independently initiates assessments of situations, identifies and explores alternatives and chooses appropriate course of action in areas within scope of practice. Evaluates the effectiveness of interventions.
• Acts as an advocate for an individual’s health care needs. Identifies barriers and advocates for patient access to care.
• Actively participates in the revenue process which includes the appeal/denial process.
• Responsible for maintaining a professional relationship with referral sources and community resources and participating in local professional organizations and activities.

Acts as a resource for members of the healthcare team along the continuum of care.

Qualifications

• Graduate from an accredited School of Nursing.
• Valid license as Registered Nurse in Connecticut.
• Bachelors prepared Registered Nurse licensed in the state of Connecticut is required.
• Strong clinical experience in an acute care setting with additional experience in home care, long term care and case management is preferred.
• Professional certification in case management or clinical specialty is highly desirable.
• Professional certification in case management or clinical specialty is highly desirable.
• Prior case management, utilization management or discharge planning experience preferred. Experience with multi-aged and multicultural populations.

Minimum of 2 years acute care experience in a hospital setting.

*We are committed to building an inclusive workplace that values diversity and inclusion and reflects the diversity of the community and patients we serve.