Nurse Case Manager - Per Diem

About the Role

Serves as a core member of the care team, coordinating and supporting healthcare within the facility and managing referrals for services outside the clinic. Provides outreach and enrollment services to meet program eligibility requirements. Ensures coordination and planning, including community and family support, with a focus on developing and coordinating community service plans. Partners with service providers, families, and patients to create healthcare plans and identify additional service providers. This position requires direct patient care.

Responsibilities

• Modify patient treatment plans as indicated by patients' responses and conditions.
• Prepare patient/family for discharge.
• Communicate with third-party payers to obtain necessary authorization for reimbursement of services.
• Review challenging cases with medical directors as needed.
• Define care goals for patients by providing education, information, and direction to individuals and families.
• Maintain accurate, detailed reports and records.

Requirements

• Associate's Degree in Nursing (Required). Bachelor's Degree in Nursing (Preferred).
• MA RN license.
• BLS Certification (Preferred).
• Case management, utilization review, or discharge planning experience (2-3 years preferred).

Skills

• Active listening and strong communication skills, including the ability to establish rapport with patients and staff.
• Critical thinking and problem-solving to evaluate options and implement solutions.
• Proficiency in Microsoft Office and industry-related software programs.
• Ability to maintain client and staff confidentiality.
• Understanding of diagnostic criteria for dual conditions and conceptualizing modalities and placement criteria within the continuum of care.
• Knowledge of Healthcare and Managed Care (Preferred).

Physical Requirements

• Standing: Frequently (34-66%)
• Walking: Frequently (34-66%)
• Sitting: Occasionally (3-33%)
• Lifting: Frequently (34-66%) up to 35lbs+ (with assisted device)
• Carrying: Frequently (34-66%) 20lbs - 35lbs
• Pushing: Occasionally (3-33%)
• Pulling: Occasionally (3-33%)
• Climbing: Rarely (Less than 2%)
• Balancing: Frequently (34-66%)
• Stooping: Occasionally (3-33%)
• Kneeling: Occasionally (3-33%)
• Crouching: Occasionally (3-33%)
• Crawling: Rarely (Less than 2%)
• Reaching: Frequently (34-66%)
• Gross Manipulation (Handling): Frequently (34-66%)
• Fine Manipulation (Fingering): Frequently (34-66%)
• Feeling: Constantly (67-100%)
• Foot Use: Rarely (Less than 2%)
• Vision - Far: Constantly (67-100%)
• Vision - Near: Constantly (67-100%)
• Talking: Constantly (67-100%)
• Hearing: Constantly (67-100%)

Schedule

• Employee Type: Per Diem
• Work Shift: Day (United States of America)
• Work Location: 57 Prospect Street, Nantucket, MA (Hybrid)

Pay

Pay Range: $28.20 - $68.49/Hourly (Grade 98TEMP)