RN Case Manager

RN Case Manager

Per Diem

The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care quality and financial outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post-acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. This position is located at Baystate Franklin Medical Center.

Why Choose Baystate Franklin Medical Center

As an 89-bed nonprofit community hospital we are a self-sufficient leader in patient care for Franklin County and surrounding areas.

Baystate Franklin Community Hospital provides a welcoming environment that prioritizes teamwork and professional development. We are committed to supporting our staff through continuous training and development fostering a fulfilling and rewarding career. Our strong sense of community both within the hospital and beyond allows team members to maintain a healthy work-life balance while making a meaningful impact on the lives of our patients every day

Responsibilities:

• Facilitates patients care plan as called for in the plan of care
• Leads daily patient care huddles with nursing to direct timely progress along the continuum
• Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources patient satisfaction and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients health care and transitional needs. Su
• Evaluates and ensures appropriateness of admissions and continued stay using evidence-based criteria
• Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties
• Leads discussions with Physician advisors and MDs about safe plan for transitions
• Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate
• Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan
• Conducts extensive assessments and implements interventions for patients at risk for readmissions
• Manages concurrent denials and works with physicians to overturn for appropriate reimbursement

Required Work Experience:

• BSN Preferred
• 3-5 years clinical Nursing experience
• Hospital Case Management Care Coordination experience strongly preferred

Location

• Baystate Franklin Medical Center Greenfield MA

Skills and Competencies:

• Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers
• Ability to organize and prioritize workload to meet deadlines
• Must possess excellent interpersonal skills in order to interact with all levels of health care providers support staff and third-party payers where appropriate
• Excellent computer skills
• Must possess excellent interpersonal skills in order to interact with all levels of health care providers support staff and third-party payers where appropriate
• There is a weekend and holiday commitment.

THE ADVANTAGES OF WORKING WITH BAYSTATE!

• Excellent Compensation
• High-quality low-cost medical dental and vision insurance
• Pet home auto and personal insurance
• Certification and continuing education reimbursement
• 403b retirement company match & annual company contribution increase based on years of service
• Life insurance
• Free money coach advice from a certified professional

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidates relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum - Midpoint - Maximum

$98051.00 - $112715.00 - $133348.00

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity marital status national origin ancestry age genetic information disability or protected veteran status.

Required Experience:

Manager