Case Manager - Registered Nurse
Job in
Lynn, Essex County, Massachusetts, 01910, USA
Listed on 2026-07-25
Listing for:
Software Technology, Inc.
Full Time, Per diem
position Listed on 2026-07-25
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
Job Description & How to Apply Below
Case Manager - Registered Nurse
Cambridge, MA/Local candidates not accepted***
6 months
Shift: 40 hours per week Usually M-F 8-4:30 Occasional weekend may be required
Epic experience preferred
COVID Vaccines + Booster required at time of submission (declinations not accepted).
BILH cover sheet required---
Active MA license required at time of submissions
Cannot have worked perm/travel for any Beth Israel facility within the past 6 months.
Primary Responsibilities:- Performs utilization review and discharge planning to inpatient admissions to MAH.
- Applies Inter Qual Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient and outpatient care.
- Communicates with attending and house staff when options to inpatient care are identified.
- Utilizes clinical expertise to determine the appropriate level of care for patients. Leads the healthcare team in selecting appropriate, safe, hospital or alternative care options.
- Works with MAH nursing and social work staff to coordinate and facilitate patient discharge.
- Identifies days not meeting acute hospital level of care criteria and reports them to the physician reviewer.
- Works with patients and families to facilitate post hospital care and develop plans to meet short and long-term needs.
- Accurately manages observation status patients by working with physicians to ensure appropriate utilization.
- Is part of the department's Saturday, holiday and beeper rotation as needed.
- Adheres to all insurance, contractual, and regulatory requirements as mandated.
- Abides by MACIPA Case Management standards as per the MACIPA CM guidelines.
- Bachelor's degree preferred. Current state license as a Registered Nurse
- Three years of medical/surgical nursing care experience. Two years of case management or utilization management experience required.
- Basic computer and typing skills.
- Effective verbal communication skills and problem solving and conflict resolution skills.
- Demonstrated ability to organize and work independently.
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