RN Case Manager - Inpatient Case Management

Cambridge Health Alliance; Everett (MA); On-site; USD 57,859 - 132,042; Full time

Job summary

Cambridge Health Alliance (CHA) in Everett, MA seeks an RN Case Manager to provide clinically based care management for inpatients, coordinating post-acute planning and ensuring efficient utilization of resources. The role collaborates with the care team, patient and family to develop appropriate care transitions.

Requirements include a BSN preferred, current MA RN license, BLS certification, and CM certification preferred. Pay range is $42.00–$95.85 per hour.

Qualifications

• BSN preferred
• Current MA RN License
• AHA for Healthcare Providers BLS certification is required
• Certification in Case Management preferred

Responsibilities

• Collaborate with other members of the health care team to identify appropriate utilization of resources and to ensure reimbursement.
• Utilize criteria to confirm medical necessity for admission and continued stay.
• With the patient, family and health care team, create a post-acute care plan appropriate to the patient's needs and resources and facilitate this transition in concert with that patient's inpatient and post-acute care teams.

Education

BSN

Job description

Cambridge Health Alliance (CHA)'s Inpatient Case Management

provides psychosocial assessments, evaluations, and referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. Cross Training to all areas of Care Management.

Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the delivery of effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation.

Key Responsibilities

• Collaborate with other members of the health care team to identify appropriate utilization of resources and to ensure reimbursement.
• Utilize criteria to confirm medical necessity for admission and continued stay.
• With the patient, family and health care team, create a post-acute care plan appropriate to the patient's needs and resources and facilitate this transition in concert with that patient's inpatient and post-acute care teams.

Qualifications/Requirements

• BSN preferred
• Current or Conditional MA RN License
• Current American Heart Association (AHA) for Healthcare Providers BLS (Basic Life Support) certification is required
• Certification in Case Management preferred

Pay Range: $42.00 - $95.85 per hour

Department: Inpatient Case Management Everett