Nurse Case Manager - Float

Case Manager Serves as a core member of the care team, coordinates and supports healthcare within the facility, and coordinates referrals for services outside the clinic. Provides outreach and enrollment services to meet eligibility requirements of the program and surrounding counties. Ensures coordination and planning, including community and family support. Focuses on the development and coordination of community service plans. Partners with service providers, families, and patients to create a plan of healthcare and identify additional service providers. Essential Functions: Client Assessments and Planning Modify patient treatment plans as indicated by patients' responses and conditions. Prepare patient/family for discharge Communicates with third party payers to obtain necessary authorization for reimbursement of services. Review cases with medical directors on challenging cases as needed Defines care goals of patients by providing education, information, and direction to each individual and family. Maintain accurate, detailed reports and records. Communicates with third party payers to obtain necessary authorization for reimbursement of services. Qualifications: Education: Associate's Degree Nursing required or Bachelor's Degree Nursing preferred Licenses and Credentials: Registered Nurse [RN - Massachusetts] - required Basic Life Support [BLS Certification] - preferred Experience: Case management, utilization review, or discharge planning experience 2-3 years preferred Knowledge, Skills and Abilities: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Ability to establish strong rapport and relationships with patients and staff. Proficient in Microsoft Office and industry related software programs. Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions. Ability to maintain client and staff confidentiality. Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care. Knowledge of Healthcare and Managed Care preferred. Additional Job Details (if applicable): This full-time, day shift position will be a float Case Manager covering our two acute care hospitals in Charlestown and the Cape. We're offering a generous sign-on bonus of up to $10,000 to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process. Work Location: 300 First Avenue Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Day (United States of America) Pay Range: $58,656.00 - $142,448.80/Annual EEO Statement: The Spaulding Rehabilitation Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources. #J-18808-Ljbffr