Case Manager, Registered Nurse - 24h Days

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• 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

• Experience in Meditech and Cerner a plus
• Denials management a plus

• RN Graduate of an accredited school of nursing required
• ASN required; BSN/MSN preferred

• RN with current Massachusetts license required
• CCM (Certified Case Manager) Preferred
• ACMA  (Accredited Case Manager) Preferred

• 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

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The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value Sturdy Health’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

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