RN Case Manager - Milford Regional, Per Diem

HAHHH; Milford, Northern (MA, KY); Hybrid; USD 115,734,000 - 243,817,000; Full time

Benefits offered by this job

Signing bonus

Job summary

UMass Memorial Health is seeking a Case Manager to coordinate and facilitate the management of care for an assigned group of patients. The role emphasizes early discharge planning, collaboration with the healthcare team, and ensuring a well-coordinated, cost-conscious care experience.

Ideal candidates hold a BSN and Massachusetts RN license, with 3–5 years of clinical experience and strong interpersonal/analytical skills. A CCM certification is preferred and a signing bonus may be offered.

Qualifications

• BSN required; Current Massachusetts RN license.
• 3–5 years of clinical experience with sound judgment and knowledge of current medical care and support systems.
• Preferred: CCM certification.
• Experience in utilization review, quality assurance, or community experience.

Responsibilities

• Assess inpatient admission appropriateness and identify high-risk patients needing referrals.
• Participate in development and monitoring of interdisciplinary guidelines and variance tracking.
• Collaborate with physicians and healthcare providers to improve quality of care and utilization management.
• Facilitate timely discharge through early intervention and coordination of services.
• Monitor compliance, collect utilization data, and identify cases for quality and utilization review.

Skills

Interpersonal skills

Analytical skills

Communication

Education

BSN degree

Massachusetts RN license

CCM certification

Tools

Utilization review experience

Job description

Are you a current UMass Memorial Health caregiver?

Exemption Status: Non-Exempt Hiring Range: $40.39 - $85.09 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details: Holidays - Every Third Holiday, Monday through Friday, Weekends - Every Third Weekend Scheduled Hours: 8:00am - 4:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 26000 - 4402 Case Management Union: MNA-Milford Regional Medical Center (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Background

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. In collaboration with other members of the healthcare team, the Case Manager is accountable for coordinating and facilitating the management of care for an assigned group of patients. The goal is to ensure a well-coordinated, individualized care experience through outcome-oriented care within a fiscally responsible framework. This includes early assessment of discharge needs, resource availability, and communication among healthcare team members and families, spanning pre- and post-hospital care.

Major Responsibilities:

1. Assessment: Evaluate appropriateness of inpatient admission and assess patient needs to identify high-risk individuals and initiate referrals.
2. Multidisciplinary Practice Guidelines: Participate in the development and monitoring of interdisciplinary guidelines and variance tracking.
3. Collaborative Practice: Work with physicians and healthcare providers to enhance quality of care and utilization management.
4. Discharge Planning: Facilitate timely discharge through early intervention and coordination of services.
5. Data Management: Monitor compliance, collect utilization data, and identify cases for quality and utilization review.

Position Qualifications:

License/Certification/Education: Required: BSN; Current Massachusetts RN license. Preferred: CCM certification.

Experience/Skills: Required: 3–5 years of clinical experience with sound judgment and knowledge of current medical care and support systems; Previous utilization review, quality assurance, or community experience; Strong interpersonal and analytical skills. Preferred: N/A.

Equal Opportunity Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.

Caregiver Philosophy

At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or “caregiver” fills an important role for our patients and their families every day. Who is a caregiver? It’s not just the person who delivers the care. It’s all the people who make it work … and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.