RN Case Manager

Scheduled Weekly Hours

40 hours

About the Role

Working in collaboration with the patient/family/legal representative, social workers, physicians, and interdisciplinary team, the RN case manager is accountable for assessing, coordinating and facilitating patient progression through the continuum of care in an efficient, cost effective manner.

Responsibilities

• Early assessment of pre-admission level of care
• Post hospital discharge needs review
• Timely, focused communication with the healthcare team and patient/family/legal representative

Requirements

• Minimum 3-5 years acute care case management experience
• Demonstrated skills in utilization review
• Demonstrated ability to use critical thinking and problem solving skills
• Excellent communication skills and positive interpersonal dynamic
• Solid knowledge of all insurance plan regulations
• Ability to garner and utilize information effectively
• Strong analytical ability to interpret patient-related information
• Ability to successfully utilize industry accepted utilization and or medical management criteria

Qualifications

• Bachelor of Science in Nursing (BSN) graduate from an accredited school of nursing
• RN with current Massachusetts license required
• CCM (Certified Case Manager)

Preferred Skills/Qualifications

• Experience in Meditech and Cerner
• Denials management experience

Age Specific Criteria

• Ability to effectively communicate to all age levels served within the scope of the position/assigned areas

Salary Range

• $87,015.12 - $135,323.52

Benefits

This is not inclusive of the value Sturdy Health’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement.

Sturdy Memorial Hospital is an equal employment opportunity employer.

There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.