RN Case Manager- Per Diem

Baystate Health; Palmer, Northern (MA, KY); Hybrid; USD 65,000 - 88,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

403b retirement plan

Continuing education reimbursement

Life insurance

Job summary

Baystate Wing Hospital in Palmer, MA is seeking a Hospital Case Manager (RN) to coordinate clinical care, quality, and financial outcomes for a designated patient population. This role leads the interdisciplinary team to develop complex discharge plans and ensure continuity of care and safe transitions.

Requires BSN preferred, 3-5 years nursing experience, and hospital case management/care coordination experience.

Qualifications

• RN with active Massachusetts license.
• 3–5 years of clinical nursing experience.
• Experience in hospital case management or care coordination preferred.

Responsibilities

• Facilitates patient care plan as called for in the plan of care.
• Leads daily patient care huddles with nursing to direct timely progress along the continuum.
• Oversees care coordination to ensure appropriate use of resources and patient satisfaction.
• Evaluates admissions and continued stay using evidence-based criteria.
• Collaborates with payers and physicians to optimize transitions.
• Leads discussions with Physician advisors about safe plan for transitions.
• Leads team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate.
• Collaborates with community case managers to ensure a safe continuum of care plan.
• Conducts assessments and interventions for patients at risk for readmissions.
• Manages denials and works with physicians to overturn for reimbursement.

Skills

Healthcare coordination

Interdisciplinary teamwork

Patient advocacy

Education

Associates Degree in Nursing

BSN preferred

Job description

At Baystate Health we respect the privacy of our candidates and recruits. Please note that we will not contact candidates directly to ask for personal information over the phone, such as date of birth, social security number, or any other private financial information. Learn More

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. This position is located at Baystate Wing Hospital.

What Makes Wing Hospital Unique

This beautifully renovated 74- bed community hospital offers 24 hour emergency care and a broad range of inpatient and outpatient services. Wing brings the cutting edge technology, professional patient care and fulfilling nursing careers that Baystate Health is known for, to the smaller communities of the Palmer MA region.

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
• 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!

• 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

Education:

Associates Degree in Nursing (Required)

Certifications:

Case Management Certification – OtherOther, Registered Nurse – State 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

$47.14 – $54.19 – $64.11

Equal Employment Opportunity Employer