RN, Case Manager, 24hr, Days

Exemption Status: Non-Exempt

Hiring Range: $41.81 - $75.25. The final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule

• Monday through Friday, Weekends (Saturday and Sunday)
• Scheduled Hours: 8:00 AM - 4:30 PM
• Shift: Day Shift, 8 Hours
• Hours: 24

This position may have a signing bonus available; eligibility will be confirmed during the interview process.

About the Role

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence, and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where you can build the career you deserve. We are more than 20,000 employees working together as one health system in a relentless pursuit of healing for our patients, community, and each other.

The Care Manager is a licensed health care professional responsible for both utilization review and discharge planning. The Care Manager collaborates with physicians, nurses, social workers, and other members of the health-care team, maintaining practice patterns consistent with state licensure and Joint Commission Standards while adhering to professional care management ethical standards.

Responsibilities

• Demonstrates a comprehensive knowledge of case management theory and practices.
• Effectively plans for patients' continuity of care needs in ambulatory care and emergency care settings.
• Performs clinical documentation in Medhost and Meditech.
• Demonstrates understanding of the principles of Care Management and InterQual Criteria.
• Communicates effectively and in a timely fashion with all involved departments concerning the appropriateness of bed status and insurance authorization.
• Communicates with health plan case managers regarding policies for the ECC patient.
• Demonstrates knowledge of general nursing theory and practices, as well as discharge planning rules and regulations.
• Informs director of any discharge planning incidents that are barriers to effective care.
• Complies with established departmental policies, procedures, and objectives.
• Attends meetings, conferences, and seminars as required or directed.
• Demonstrates use of Quality Improvement in daily operations.
• Complies with all health and safety regulations and requirements.
• Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to a professional, tolerant, and civil environment.
• Maintains regular, reliable, and predictable attendance.
• Performs other similar and related duties as required or directed.

Requirements

• Current Massachusetts Nursing License.
• Graduate of an accredited school of nursing (RN or BSN).
• Experience in discharge planning and utilization review.
• Unless certification, licensure, or registration is required, an equivalent combination of education and experience may be substituted.

Physical Demands and Environmental Conditions

• Moderate physical activity required, including walking.
• Must demonstrate emotional stability.
• May be required to work additional hours.
• Must demonstrate flexibility in relating to individuals of varying disabilities and from different cultures, socio-economic, and spiritual backgrounds.
• Job requires lifting weight or exerting force.
• Good physical environment.
• May need to travel outside the hospital to attend workshops and conferences.