RN Case Manager, Part Time

Baystate Health; Springfield (MA); Hybrid; USD 98,000 - 133,000; Part time

Benefits offered by this job

Excellent compensation

Comprehensive benefits

Education reimbursement

403b retirement plan match

Job summary

Baystate Health is seeking an RN Case Manager for a part-time role to coordinate clinical care and outcomes for a designated patient population. You will lead the interdisciplinary team to develop complex discharge plans and ensure efficient transitions to post-acute settings.

Responsibilities include facilitating care plans, conducting assessments, and collaborating with payers and physicians to optimize reimbursement and continuity of care.

Qualifications

• BSN preferred; 3–5 years nursing and hospital case management experience preferred.
• Knowledge of utilization/quality review standards and community resources.
• Strong interpersonal skills for interaction with care teams, payers and patients.

Responsibilities

• Facilitates care plans per plan of care and coordinates discharge planning.
• Leads daily patient care huddles with nursing to ensure timely progress.
• Oversees allocation of hospital resources, patient satisfaction and quality of care.
• Collaborates with payers and physicians for transitions and approvals.
• Performs readmission risk assessments and implements targeted interventions.

Skills

Case management

Interdisciplinary teamwork

Patient advocacy

Organization

Communication

Education

Associates Degree in Nursing (required)

BSN preferred

Case Management Certification

Tools

EMR systems

Job description

## RN Case ManagerPart Time-16 hours The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post-acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. **Responsibilities:*** Facilitates patients care plan as called for in the plan of care* Leads daily patient care huddles with nursing to direct timely progress along the continuum* Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients health care and transitional needs. Su* Evaluates and ensures appropriateness of admissions and continued stay using evidence-based criteria* Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties* Leads discussions with Physician advisors and MD's about safe plan for transitions* Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate* Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan* Conducts extensive assessments and implements interventions for patients at risk for readmissions* Manages concurrent denials and works with physicians to overturn for appropriate reimbursement **Required Work Experience:*** BSN Preferred* 3-5 years clinical Nursing experience* Hospital Case Management, Care Coordination experience strongly preferred **Skills and Competencies:*** Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers* Ability to organize and prioritize workload to meet deadlines* Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third-party payers where appropriate* Excellent computer skills* Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third-party payers where appropriate* There is a weekend and holiday commitment. **THE ADVANTAGES OF WORKING WITH BAYSTATE!*** Excellent Compensation* High-quality, low-cost medical, dental and vision insurance* Pet, home, auto and personal insurance* Certification and continuing education reimbursement* 403b retirement company match & annual company contribution increase based on years of service* Life insurance* Free money coach advice from a certified professional* Reimbursement for a variety of well-being activities, included but limited to gym membership and equipment, personal trainer, massage and so much more!* Wellbeing programs that include but are not limited to mental, physical, and financial health **Our Compensation Philosophy**We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role.**Education:**Associates Degree in Nursing (Required), Bachelors Degree in Nursing**Certifications:**Case Management Certification - OtherOtherOther, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts**Compensation**Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.Minimum - Midpoint - Maximum$98,051.00 - $112,715.00 - $133,348.00