RN Case Manager, Per Diem

700 Baystate Noble Hospital; United States; On-site; USD 6,494,000 - 8,832,000; Part time

Benefits offered by this job

Excellent compensation

Health benefits

Education reimbursement

401k match

Job summary

Baystate Noble Hospital is seeking an RN Case Manager per diem to coordinate clinical care, quality and financial outcomes for a designated patient population. You will lead an interdisciplinary team to develop complex discharge plans and ensure safe transitions for community or post-acute settings.

The role includes managing care plans, collaborating with payers and physicians, and supporting readmission reduction efforts.

Qualifications

• BSN preferred with 3–5 years of hospital case management or care coordination experience.
• Experience coordinating care plans and working with payers is strongly preferred.
• Ability to organize and prioritize workload to meet deadlines.

Responsibilities

• Facilitates patient care plans and leads daily care huddles with nursing.
• Oversees utilization of resources, ensures appropriate admissions and transitions.
• Collaborates with physicians, payers, and community resources to ensure safe continuum of care.
• Conducts assessments and participates in readmission risk management.
• Manages denials and works with physicians to optimize reimbursement.

Skills

Community resources

Utilization standards

Workload prioritization

Interpersonal skills

Computer skills

Weekend/holiday commitment

Education

BSN preferred

Job description

RN Case Manager Per Diem

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 Noble Hospital.

Why Baystate Noble Hospital?

Baystate Noble Hospital is an 85-bed acute care community hospital helping people in the greater Westfield community and offers direct access to world-class technology, diagnostics, and specialists.

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

Location

Baystate Noble Hospital -Westfield, MA

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
• 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

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

About Baystate Health

Baystate Health (BH) is one of New England’s leading and largest integrated health care organizations, serving a population of nearly one million people throughout western New England. With roots dating back to the founding of Springfield City Hospital in 1873, Baystate Health has been providing high-quality and compassionate health care in western Massachusetts for more than 145 years. With more than 12,000 employees, a medical staff of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health system includes five Massachusetts hospitals and the Baystate Mary Lane Outpatient Center in Ware: Baystate Medical Center in Springfield Baystate Children’s Hospital (located at Baystate Medical Center) Baystate Franklin Medical Center in Greenfield Baystate Wing Hospital in Palmer Baystate Noble Hospital in Westfield