RN Case Manager-MNA 40 hours, Days

UMass Memorial Health • Milford, MA

15d • $84,011 - $176,987

About The Position

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. 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
• N/A

Responsibilities

• Assessment: Evaluate appropriateness of inpatient admission and assess patient needs to identify high-risk individuals and initiate referrals.
• Multidisciplinary Practice Guidelines: Participate in the development and monitoring of interdisciplinary guidelines and variance tracking.
• Collaborative Practice: Work with physicians and healthcare providers to enhance quality of care and utilization management.
• Discharge Planning: Facilitate timely discharge through early intervention and coordination of services.
• Data Management: Monitor compliance, collect utilization data, and identify cases for quality and utilization review.

What This Job Offers

• Job Type: Full-time
• Number of Employees: 5,001-10,000 employees