Sturdy Health
Join to apply for the
RN Case Manager - Per Diem-2
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Sturdy Health 1 week ago Be among the first 25 applicants Join to apply for the
RN Case Manager - Per Diem-2
role at
Sturdy Health Get AI-powered advice on this job and more exclusive features. Working in collaboration with the patient/family/legal representative, social workers, physicians, and interdisciplinary team, the RN case manager is accountable for assessing, coordinating and facilitating patient progression through the continuum of care in an efficient, cost effective manner. The RN Case Manager must achieve this through early assessment of pre-admission level of care, post hospital discharge needs, review of available resource and timely, focused communication with the healthcare team and patient/family/legal representative.
Required Skills/Qualifications/Training/Experience
Minimum 3-5 years acute care case management experience, with demonstrated skills in utilization review Demonstrated ability to use critical thinking and problem solving skills in facilitating safe and timely patient transitions of care Excellent communication skills and positive interpersonal dynamic in working with a variety of stakeholders across the care continuum Solid knowledge of all insurance plan regulations including CMS/Medicaid to ensure compliance with all required processes and documentation Ability to garner and utilize information effectively to develop and modify patient plan of care Strong analytical ability to interpret patient-related information, evaluate appropriateness of continued stay and/or need for ancillary services, and to reassess discharge planning needs based on daily assessment. Ability to successfully utilize industry accepted utilization and or medical management criteria in patient status decision making Self-starter able to function independently within the scope of position and licensure, as well as department policies and established goals Excellent computer skills to accurately document requisite information to support patient status and medical necessity
Preferred Skills/Qualifications/Training/Experience
Experience in Meditech and Cerner a plus Denials management a plus
Educational Requirements
RN Graduate of an accredited school of nursing; BSN/MSN preferred
License/Certification
RN with current Massachusetts license required CCM (Certified Case Manager) Preferred ACMA (Accredited Case Manager) Preferred
Age Specific Criteria:
Ability to effectively communicate to all age levels served within the scope of the position/assigned areas.
Ability to Meet Job Performance Expectations:
Must have the ability to perform the essential functions of the position without posing a direct threat to the health and safety of themselves or other individuals in the workplace, with or without a reasonable accommodation.
Physical Demands
Include but are not limited to:
Ability to sit (may be for long periods of time), stand, reach and lift up to 15 pounds Ability to readily travel to units/departments across the system. Ability to communicate effectively with all stakeholders, in person as well as via telephone and electronically Ability to interact directly with patients, with potential for direct exposure to patient care activities Ability to document and use trackers, analyze charts and coordinate services within the electronic health record Ability to advocate for patients both internally and external to the system Ability to attend and participate professionally in meetings with Hospital leaders, physicians, patients and families
Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Part-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Sturdy Health by 2x Get notified about new Case Management Nurse jobs in
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RN Case Manager - Per Diem-2
role at
Sturdy Health 1 week ago Be among the first 25 applicants Join to apply for the
RN Case Manager - Per Diem-2
role at
Sturdy Health Get AI-powered advice on this job and more exclusive features. Working in collaboration with the patient/family/legal representative, social workers, physicians, and interdisciplinary team, the RN case manager is accountable for assessing, coordinating and facilitating patient progression through the continuum of care in an efficient, cost effective manner. The RN Case Manager must achieve this through early assessment of pre-admission level of care, post hospital discharge needs, review of available resource and timely, focused communication with the healthcare team and patient/family/legal representative.
Required Skills/Qualifications/Training/Experience
Minimum 3-5 years acute care case management experience, with demonstrated skills in utilization review Demonstrated ability to use critical thinking and problem solving skills in facilitating safe and timely patient transitions of care Excellent communication skills and positive interpersonal dynamic in working with a variety of stakeholders across the care continuum Solid knowledge of all insurance plan regulations including CMS/Medicaid to ensure compliance with all required processes and documentation Ability to garner and utilize information effectively to develop and modify patient plan of care Strong analytical ability to interpret patient-related information, evaluate appropriateness of continued stay and/or need for ancillary services, and to reassess discharge planning needs based on daily assessment. Ability to successfully utilize industry accepted utilization and or medical management criteria in patient status decision making Self-starter able to function independently within the scope of position and licensure, as well as department policies and established goals Excellent computer skills to accurately document requisite information to support patient status and medical necessity
Preferred Skills/Qualifications/Training/Experience
Experience in Meditech and Cerner a plus Denials management a plus
Educational Requirements
RN Graduate of an accredited school of nursing; BSN/MSN preferred
License/Certification
RN with current Massachusetts license required CCM (Certified Case Manager) Preferred ACMA (Accredited Case Manager) Preferred
Age Specific Criteria:
Ability to effectively communicate to all age levels served within the scope of the position/assigned areas.
Ability to Meet Job Performance Expectations:
Must have the ability to perform the essential functions of the position without posing a direct threat to the health and safety of themselves or other individuals in the workplace, with or without a reasonable accommodation.
Physical Demands
Include but are not limited to:
Ability to sit (may be for long periods of time), stand, reach and lift up to 15 pounds Ability to readily travel to units/departments across the system. Ability to communicate effectively with all stakeholders, in person as well as via telephone and electronically Ability to interact directly with patients, with potential for direct exposure to patient care activities Ability to document and use trackers, analyze charts and coordinate services within the electronic health record Ability to advocate for patients both internally and external to the system Ability to attend and participate professionally in meetings with Hospital leaders, physicians, patients and families
Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Part-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Sturdy Health by 2x Get notified about new Case Management Nurse jobs in
Attleboro, MA . Portsmouth, RI $59,640.00-$119,530.00 3 weeks ago Registered Nurse - Pediatric Behavioral Health
Registered Nurse - Pediatric Behavioral Health
Natick, MA $60,000.00-$120,000.00 10 months ago Natick, MA $60,000.00-$120,000.00 10 months ago Triage Nurse Pediatrics (PSP) - Full-time Associates
Brockton, MA $75,000.00-$150,000.00 2 months ago Randolph, MA $75,000.00-$150,000.00 2 months ago Registered Nurse - Behavioral Health Director
Portsmouth, RI $59,640.00-$119,530.00 3 weeks ago Patient Care Manager / Registered Nurse, Home Health $35,000 Bonus
Norwood, MA $35,000.00-$110,000.00 5 days ago Licensed Practical Nurse or Registered Nurse - 40hrs per week!
Massachusetts, United States $30.00-$43.00 1 week ago Massachusetts, United States 5 months ago Fall River, MA $59,640.00-$119,530.00 8 months ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr