RN Case Manager

Job Overview

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.

Hours:

40 hours – weekend commitment and holidays required.

Shift: Day shift.

Location:

Lowell General, Main Campus.

• Massachusetts RN Licensure.
• 3 Years of RN Experience.
• Current Basic Life Support (BLS) Certification.

• Bachelor of Science in Nursing (BSN).

• Interviews and collects specific information and data from patients and families, contributing 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, including 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 in adherence to policies and procedures of Medicare and Medicaid.
• Assists in achieving unit quality scores that meet or exceed hospital established targets for nurse‑sensitive quality indicators as appropriate for the unit.

• Ability to sit for extended periods of time.
• Prolonged standing and walking.
• Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.

• Ability to plan, implement and evaluate data and individual patient needs after emergency department visits.
• Ability to effectively communicate with patients, families, physicians, and healthcare team.
• Ability to analyze, evaluate multiple solutions, and solve complex problems using well‑developed critical and analytical thinking skills.
• Knowledge of and application of the nursing process.
• Excellent time‑management skills needed to prioritize competing priorities.
• Requires the ability to work independently and establish an effective working relationship with healthcare providers in physicians' offices, community agencies, hospitals and other healthcare facilities.
• Maintains working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations.

This position offers a base pay range reflecting the minimum qualifications with additional total rewards support for health, financial security, and career growth.