RN Case Manager- New Competitive Pay!

Tufts Medicine • Lowell, MA

1d • Onsite

About The Position

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. Tufts Medicine is a leading integrated health system bringing together the best of academic and community health care to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Healthcare, an expansive home care network and a large clinically integrated physician network, Tufts Medicine has more than 15,000 dedicated employees and caregivers. The health system came together in 2014 to leverage the experience of its member organizations and integrate their missions to together transform the ways that consumers engage with and experience their 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.

Benefits

• Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees