Case Manager-MNA MRMC - Case Mgmt - 32 hr days
UMass Memorial Health•Milford, MA
•Onsite
About The Position
In collaboration with other members of the healthcare team, the Case Manager is accountable for coordinating and facilitating the management of care for an assigned group of patients. The goal is to ensure a well-coordinated, individualized care experience through outcome-oriented care within a fiscally responsible framework. This includes early assessment of discharge needs, resource availability, and communication among healthcare team members and families, spanning pre- and post-hospital care.
Requirements
- BSN
- Current Massachusetts RN license
- 3–5 years of clinical experience with sound judgment and knowledge of current medical care and support systems
- Previous utilization review, quality assurance, or community experience
- Strong interpersonal and analytical skills
Nice To Haves
- CCM certification
Responsibilities
- Evaluate appropriateness of inpatient admission and assess patient needs to identify high-risk individuals and initiate referrals.
- Participate in the development and monitoring of interdisciplinary guidelines and variance tracking.
- Work with physicians and healthcare providers to enhance quality of care and utilization management.
- Facilitate timely discharge through early intervention and coordination of services.
- Monitor compliance, collect utilization data, and identify cases for quality and utilization review.
Benefits
- Holidays - One Major Summer Holiday
- Holidays - One Major Winter Holiday
- Signing bonus available
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
