RN Case Manager - Inpatient Case Management CH

Cambridge Health Alliance; Cambridge (MA); On-site; USD 6,199,000 - 8,266,000; Part time

Job summary

Cambridge Health Alliance (CHA) is seeking a Per Diem On Call RN Case Manager at CHA Cambridge Hospital. Under supervision of the Director of Care Management, this role provides clinically-based case management for adults with psychiatric, medical, or substance use needs.

The RN collaborates with the care team to optimize resources, ensure reimbursement, and plan post-acute care with patient and family. The position requires a BSN (preferred), MA RN licensure, and ARC/AHA BLS certification.

Qualifications

• BSN preferred.
• Current MA RN Licensure.
• Case Management certification preferred.
• ARC or AHA BLS certification required.
• Hospital Care Management Experience strongly preferred.
• 3-5 years of medical/surgical RN experience OR 3-5 years of RN Case Management experience required.

Responsibilities

• Provide clinically-based case management to support effective patient care.
• Collaborate with health care team to determine resource utilization and reimbursement.
• Determine medical necessity for admission and continued stay using criteria.
• Develop post-acute care plans with patient and families for transitions.
• Cross-train to care management areas as needed.

Skills

BSN preferred

MA RN Licensure

Case Management certification

BLS certification

Hospital care management

RN case management experience

Education

BSN degree

Job description

Location

CHA Cambridge Hospital

Category

Registered Nurse

Department

Inpatient Case Management CH

Job Type

Per Diem On Call

Union Name

MNA Cambridge

Work Schedule

Day

Length Of Shift(s) In Hours

8

Shift Details

8:00am-4:30pm

Hours/Week

0.00

Weekend Requirements

none

Holiday Requirements

as needed

On Call Requirements

as needed

Department Description

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

Summary

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. The RN Case Manager will 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/Experience

• Education: Bachelor of Science in Nursing (BSN) degree preferred.
• Current or Conditional MA RN Licensure
• Certification in Case Management preferred.
• American Red Cross (ARC) or American Heart Association (AHA)BLS certification required
• Experience: Hospital Care Management Experience strongly preferred.
• 3-5 years of medical/surgical RN experience OR 3-5 years of other RN Case Management experience is required.

Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

Cambridge Health Alliance brings Care to the People - including your neighbors, friends and family. Our local hospitals and care centers serve our vibrant, diverse communities, and play an integral role in improving health. As passionate advocates for the underserved, we actively partner with our communities to take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe that everyone deserves access to high quality, convenient health care. This is why our employees believe in where they work and why many build long, rewarding careers at CHA.

Healthcare is changing rapidly. CHA has a strategic plan that charts a proactive course for our future. It is built on a vision of equity and excellence for everyone, every time. It also recognizes that our workforce is our most valuable asset and prioritizes competitive salaries, benefits and professional development opportunities for employees. The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.

At CHA, you can believe in where you work and go home every day knowing you made a difference. Join our team and help us bring Care to the People.