RN-Registered Nurse, Case Manager

Tufts Medicine•Lowell, MA

2d•$44 - $56

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.

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.