RN Case Manager

Case ManagerAt Tufts Medicine, we're saving lives, building careers, and reimagining healthcare. Ready to grow with us?If you are a Case Manager, that enjoys working with complex cases that require strong problem-solving skills, this is an exceptional opportunity to work close to home with a community hospital.Job OverviewThe RN Case Manager manages a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care.Hours: 32 hours a week / Days / Flexibility between 8am-4:30pmRotating WeekendsJob DescriptionMinimum Qualifications:Massachusetts RN Licensure3 Years of RN ExperienceCurrent Basic Life Support (BLS) CertificationPreferred Qualifications:Bachelor of Science in Nursing (BSN)Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.Interviews and collects specific information and data from patients and families, contributes to the identification of specific physical, emotional, educational and cultural needs of those patients.Maintains documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines.Completes a discharge assessment, to include appropriate documentation, according to established policies and procedures.Identifies barriers to efficient cost-effective provision of care.Identifies expected outcomes individualized to the patient.Collaborates with physician, healthcare team, and the patient/family in decision making and planning of care during hospitalization and in anticipation of discharge.Implements the plan of care to achieve the identified expected outcomes for the patient.Utilizes community and other resources and systems to implement the plan facilitating referrals when appropriate.Provides education for the patients and families and documents according to policy.Coordinates activities related to financial/insurance issues, including providing clinical updates to insurance companies.Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare and Medicaid.Assists in achieving unit quality scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit.About MelroseWakefield HospitalMelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians.Core to our values, MelroseWakefield Healthcare's commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents.About Tufts MedicineA healthcare system that works Tufts Medicine is more than a health system — we're a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you'll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family's well-being.Tufts Medicine is an equal opportunity employer