RN, Hospital Case Manager Per Diem

Baystate Health; Springfield (MA); On-site; USD 60,000 - 80,000; Part time

Job summary

A healthcare organization in Springfield is seeking a Per Diem Hospital Case Manager. This role requires coordination of clinical care and oversight of patient discharge plans. Candidates should possess a BSN and have 3-5 years of clinical nursing experience, preferably in hospital case management. The position involves leading patient care huddles and collaborating with healthcare professionals to ensure quality outcomes.

Qualifications

• 3-5 years of clinical Nursing experience required.
• Hospital Case Management and Care Coordination experience strongly preferred.

Responsibilities

• Facilitates patients care plan as called for in the plan of care.
• Leads daily patient care huddles with nursing to direct timely progress.
• Collaborates and manages outcomes with the payers.

Skills

Interpersonal skills

Organizational skills

Computer skills

Education

BSN

Job description

Per Diem Hospital Case Manager The RN 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.
• 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

Requirements:

• BSN Strongly 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 in order 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

Schedule & Location

• Per Diem
• Rotating weekends = to approx. 6 weekends a year
• Rotating holiday = 1 holiday year
• Baystate Medical Center 759 Chestnut Street Springfield, MA

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.