Nurse Case Manager
About The Position
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Case Manager (RN) Experienced Registered Nurse with a strong inpatient background in medical-surgical care, discharge planning, and care coordination. Skilled at collaborating with physicians, nursing, social work, patients, and families to support safe, timely transitions of care. Brings strong clinical judgment, communication skills, and the ability to manage complex cases in a fast-paced acute care environment. Job Description: Essential Duties & Responsibilities Utilize established clinical criteria to identify and communicate opportunities for providing patient care in the most appropriate setting. Collaborate with physicians, clinical staff, patients, and families to develop and implement post-hospital plans of care that best meet patient needs. Provide accurate and timely clinical information to health insurers to ensure appropriate admission status determination and reimbursement. Serve as the liaison between patients and post-acute care providers to support smooth transitions of care. Participate in the department’s weekend, holiday, and on-call (beeper) rotation as required. Adhere to all applicable insurance, contractual, accreditation, and regulatory requirements. Comply with MAH Case Management Standards and guidelines. Perform other related duties as assigned.
Requirements
- Bachelor’s degree preferred.
- Current Massachusetts Registered Nurse (RN) license.
- Minimum of two (2) years of recent acute care medical/surgical nursing experience.
- Intermediate proficiency with computers and keyboarding.
- Strong communication, problem-solving, and negotiation skills.
- Demonstrated ability to work independently, manage priorities, and function effectively in a fast-paced environment.
- Ability to communicate clearly, verbally and in writing, with supervisors, colleagues, patients, families, and community partners.
- Sufficient visual acuity to review and produce electronic and printed documents.
- Ability to regularly lift, move, or carry objects up to 10 pounds.
- Ability to ascend and descend stairs and ramps using appropriate balance and coordination.
- Ability to maintain balance while walking, standing, crouching, or performing job-related tasks.
- Ability to travel between various work locations as needed.
- Ability to learn and carry out the primary responsibilities of the role.
- Ability to organize, prioritize, and manage multiple tasks and projects.
- Ability to analyze information, exercise sound judgment, and manage confidential and sensitive information appropriately
Nice To Haves
- Prior case management experience preferred.
Responsibilities
- Utilize established clinical criteria to identify and communicate opportunities for providing patient care in the most appropriate setting.
- Collaborate with physicians, clinical staff, patients, and families to develop and implement post-hospital plans of care that best meet patient needs.
- Provide accurate and timely clinical information to health insurers to ensure appropriate admission status determination and reimbursement.
- Serve as the liaison between patients and post-acute care providers to support smooth transitions of care.
- Participate in the department’s weekend, holiday, and on-call (beeper) rotation as required.
- Adhere to all applicable insurance, contractual, accreditation, and regulatory requirements.
- Comply with MAH Case Management Standards and guidelines.
- Perform other related duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
251-500 employees
