HospitalCaseManager(RN)inPalmer,MA|BaystateHealthCareers
Department:CaseManagement
Location:WingHospital,Palmer,Massachusetts
JobType:Part-Time
Shift:Days

MakeanImpactwithBaystateHealth

BaystateHealthisseekingaHospitalCaseManager(RN)tojoinourCaseManagementteamatWingHospitalinPalmer,Massachusetts.OurCaseManagementteamworkscollaborativelywithphysicians,nurses,socialworkers,payers,patients,families,andcommunitypartnerstoensurepatientsreceivetherightcareattherighttimeandinthemostappropriatesetting.

TheHospitalCaseManager(RN) plays a critical role in coordinating patient-centered care throughout the hospitalization and transition process. This position offers the opportunity to positively impact patient outcomes by facilitating safe discharges, reducing readmissions, optimizingresourceutilization,andsupportingcontinuityofcareacrossthehealthcarecontinuum.Workinginacommunityhospitalsetting,youwillbuildstronginterdisciplinaryrelationshipswhilehelpingpatientsandfamiliesnavigatecomplexhealthcareneeds.

TheHospitalCaseManager(RN)Will:

• Coordinateandfacilitatepatient-centeredcareplans,collaboratingwithinterdisciplinaryteamstopromotequalityoutcomesandappropriateutilizationofhealthcareresources.
• Reviewadmissionsandcontinuedstaysusingestablishedutilizationmanagementcriteriaandproviderecommendationsregardinglengthofstay,levelofcare,andqualityinitiatives.
• Communicatewithinsuranceprovidersandpayerorganizationstosupportauthorizationprocessesandoptimizereimbursementopportunities.
• Leaddischargeplanningefforts,ensuringpatientsandfamiliesunderstandpost-acutecareoptions,availableresources,andtransitionplans.
• Identifypatientsatriskforreadmissionandimplementinterventionsdesignedtoimproveoutcomesandreduceavoidablehospitalizations.
• Collaboratewithphysicians,nursingstaff,socialworkers,andcommunityagenciestosupportseamlesstransitionsacrosscaresettings.
• Participateindailyinterdisciplinaryprogressionrounds,focusingontimelycareprogressionandachievementofexpectedlengthsofstay.
• Maintainaccurateandtimelydocumentationofutilizationreviewactivities,dischargeplanninginterventions,andpost-acutecarearrangementswithinthemedicalrecord.

ScheduleDetails

• JobType:Part-Time
• Shift:Days
• Hours:24hours/week
• Schedule:Dayshiftschedulebasedondepartmentneeds
• WeekendRequirement:Rotationalcoverageaspartofseven-daycasemanagementservices
• On-CallRequirement:None

BenefitsThatSupportYou

At Baystate Health, you get the bestofbothworlds:theresources,stability,andcareeropportunitiesofalargeintegratedhealthcaresystemwiththesupportivecultureofacommunity-focusedorganization.

Dependingoneligibility,benefitsmayinclude:

• CompetitivePay&Benefits:Medical,dental,andvisioncoverage,includinglocalHealthNewEnglandplans.
• Tuition&Training:Tuitionassistance,CEUs,andprofessionaldevelopmentopportunities.
• CareerGrowth:Clinicaladvancement,leadershipdevelopment,andinternalcareeropportunities.
• RegionalOpportunities:CareeroptionsacrossBaystateHealthhospitals,practices,andservicesthroughoutwesternMassachusetts.
• Retirement:Retirementsavingsandemployermatch.
• PaidTimeOff:GenerousPTOforeligibleemployees.

AboutBaystateHealth

BaystateHealthisanintegratedhealthcaresystemservingpatientsandcommunitiesthroughoutwesternMassachusetts.OurnetworkincludesBaystateMedicalCenter,BaystateChildren'sHospital,BaystateNobleHospital,BaystateFranklinMedicalCenter,BaystateWingHospital,BaystateMedicalPractices,andBaystateHomeHealth&Hospice.Whetheryouprovidedirectpatientcare,clinicalservices,oroperationalsupport,yourworkatBaystateHealthhelpsimprovethehealthofthecommunitiesweserve.

Skills

• Bachelor'sDegreeinNursing(BSN)required.
• CurrentRegisteredNurse(RN)licenseinMassachusetts.
• Minimumof3-5yearsofrecentacutemedical-surgicalnursingexperience.
• Strongclinicalassessment,carecoordination,andinterdisciplinarycollaborationskills.
• Knowledgeofutilizationmanagement,dischargeplanning,andregulatoryrequirements.

PreferredQualifications&Skills

• 1-3yearsofCaseManagementexperienceinanacutecarehospitalsetting.
• Experiencewithutilizationreview,payercommunications,anddischargeplanning.
• CaseManagementcertification(ACM,CCM,orequivalent)preferred.
• Experienceworkingininterdisciplinaryhealthcareteamsandnavigatingcomplexpatientcaretransitions.

StartYourCareeratBaystateHealth

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