Point of Entry RN​/ER Case Manager - Per Diem

Exemption Status:
Non-Exempt

Hiring Range: $52.50 - $57.50

Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.

Schedule Details:
Sunday through Saturday, Weekends - Every Third Weekend

Scheduled

Hours:

9AM-9:30PM

Shift: 1 - Day Shift, 12 Hours (United States of America)

Hours:

0

Cost Center: 26000 - 4402 Case Management

This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process.

• Patient Identification and Communication
  • Reviews all ED patients promptly.
  • Reviews all admitted patients within one hour of admission or before admitting orders are placed.
  • Intervenes early for patients with progressive conditions or complex needs.
  • Ensures communication among MSW, CM, and ED care team.
• Assessment and Documentation
  • Completes and documents initial discharge planning assessments.
  • Refers complex or high-utilizer patients for MSW psychosocial assessment.
  • Identifies and documents readmissions for follow-up.
• Utilization Review
  • Completes admission reviews using Inter Qual criteria.
  • Collabroates with providers to resolve discrepancies in medical necessity.
  • Documents clinical reviews in Meditech per standards.
• Discharge and Transition Planning
  • Executes discharge plans in collaboration with ED and admitting physicians.
  • Prioritizes discharges requiring post-acute care arrangements.
  • Arranges services such as Home Health, DME, SNF, rehab, and medications.
• Escalation and Issue Resolution
  • Escalates unresolved cases to appropriate leadership.
  • Follows formal escalation processes for utilization and level of care issues.
  • Documents avoidable delays for boarded ED patients daily.
• Age-Specific Competency
  • Applies knowledge of growth and development stages to patient care.
  • Demonstrates age-appropriate communication and support.

Required:

• Bachelor of Science in Nursing
• Current Massachusetts RN license

Preferred:

• CCM certification

Required:

• Minimum 3 years of medical, surgical, ICU, or ED nursing experience
• Demonstrated sound judgment and knowledge of medical care and support services
• Excellent interpersonal and communication skills
• Analytical ability to evaluate patient care needs and service appropriateness

Preferred:

• 3-5 years of hospital-based case management
• Emergency department experience
  
  Utilization review experience

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talent acquisition. We will make every effort to respond to your request for disability assistance as soon as possible.