Case Manager - Registered Nurse IV

Commonwealth of Massachusetts • Boston, MA

1d • Onsite

About The Position

Lemuel Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within our Case Management Program. The ideal candidate will ensure appropriate use of healthcare resources by reviewing admissions and continued stays, while guiding patients to the most suitable placement along the continuum of care. This vital role encompasses Utilization Review, Performance Improvement, Risk Assessment, Infection Surveillance, and the coordination of discharge planning. Please Note Scheduled Hours: 8AM-4:30PM Monday-Friday

Requirements

• Strong foundation in nursing principles, terminology, anatomy, physiology, and care standards across diverse patient populations.
• Proficient in emergency procedures, diagnostic and monitoring equipment, infection control, and specimen handling.
• Skilled in documentation, data analysis, report preparation, and interpreting medical records, charts, and treatment plans.
• Effective communicator with the ability to instruct, collaborate across multidisciplinary teams, and support patients under stress.
• Demonstrates sound judgment, cultural sensitivity, confidentiality, and flexibility to work varied shifts and respond to emergencies.
• Applicants must have at least (A) two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least one year must have been in a supervisory, administrative or managerial capacity or (C) any equivalent combination of the required experience and the substitutions below.
• Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing.
• Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination.
• Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.

Nice To Haves

• Demonstrates thorough knowledge of agency regulations, forms, safety protocols, supply procedures, and sterilization equipment used in medical settings.
• Understands and can explain applicable laws, policies, and community-based resources for nursing services, referrals, and laboratory testing.

Responsibilities

• Manage case coordination, utilization review, discharge planning, and resource allocation across assigned units.
• Ensure compliance with care standards through medical record audits, infection control surveillance, and reporting of communicable diseases.
• Facilitate care planning and level-of-care decisions with interdisciplinary teams, Physician Advisors, and third-party payers.
• Support staff education, lead quality improvement efforts, and contribute to internal publications and committee initiatives.
• Resolve coverage and reimbursement issues, prepare statistical reports, and communicate with Managed Care Organizations using EMR data.
• Provide cross-functional support including screening, DOC/HOC coverage, and referrals to Social Services or Patient Advocates.

Benefits

• Comprehensive Benefits
• When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees