RN Case Manager - Sign on Bonus Eligible!

Tufts Medicine • Melrose, MA

108d

About The Position

At Tufts Medicine, we're saving lives, building careers, and reimagining healthcare. Ready to grow with us? If you are a Case Manager, that enjoys working with complex cases that require strong problem-solving skills, this is an exceptional opportunity to work close to home with a community hospital. The RN Case Manager manages a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care.

Requirements

• Massachusetts RN Licensure.
• 3 Years of RN Experience.
• Current Basic Life Support (BLS) Certification.

Nice To Haves

• Bachelor of Science in Nursing (BSN).

Responsibilities

• Interviews and collects specific information and data from patients and families, contributes to the identification of specific physical, emotional, educational and cultural needs of those patients.
• Maintains documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines.
• Completes a discharge assessment, to include appropriate documentation, according to established policies and procedures.
• Identifies barriers to efficient cost-effective provision of care.
• Identifies expected outcomes individualized to the patient.
• Collaborates with physician, healthcare team, and the patient/family in decision making and planning of care during hospitalization and in anticipation of discharge.
• Implements the plan of care to achieve the identified expected outcomes for the patient.
• Utilizes community and other resources and systems to implement the plan facilitating referrals when appropriate.
• Provides education for the patients and families and documents according to policy.
• Coordinates activities related to financial/insurance issues, including providing clinical updates to insurance companies.
• Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare and Medicaid.
• Assists in achieving unit quality scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree