RN - Case Manager

Case ManagerThe Case Manager is responsible for managing the healthcare needs, facilitation and achievement of quality and cost outcomes of all patients within Berkshire Medical Center, across the continuum. The case manager, utilizing a multidisciplinary team approach, negotiates, procures, coordinates and monitors services and resources needed by patients. The case manager is responsible for reviewing the patient at admission, and in some instances prior to admission, and concurrently throughout the hospital stay for the appropriate level of care and utilization of resources. The case manager will perform transition care planning activities to secure appropriate post hospital care arrangements and will monitor the patient during the course of their hospitalization. The case manager participates with the performance improvement initiatives undertaken by Berkshire Health Systems.Additional Requirements:Organizational skills. Proven ability to analyze and present data. Computer literacy. Ability to plan, implements, and evaluate change.Data management skills preferredProven excellent interpersonal and communication skillsAbility to maintain confidentialityProven collaboration & negotiation skills with providers, patients, families, insurance organizations and government agenciesProven ability to work independentlyProven excellent organizational skillsDemonstrated ability to establish and maintain relationships with physiciansKnowledge of local community resources requiredKnowledge of Medicare, Medicaid, third party commercial payers and reimbursement requiredComputer experience required with proven ability to manage multiple open applicationsSkills in data comprehension, research, analysis, interpretation, and judgement necessary to prepare a comprehensive summary report for files, management, legal and/or regulatory agencies upon requestBERKSHIRE HEALTH SYSTEM WILL NOT CONSIDER ANY TRAVELER WHO RESIDES WITHIN 50 MILES OF FACILITY. To avoid delays in processing, please include perm address at profile upload. 10/12hr shifts are NOT available for this need - DO NOT UPLOAD A TRAVELER WHO WILL NOT WORK FIVE 8HR SHIFTS! 8hrs non-billable orientation Holiday and OT Multipliers - 1.25%