Temp - Registered Nurse; RN

Case Manager

The Case Manager is responsible for managing the healthcare needs, facilitation and achievement of quality and cost outcomes of all patients within Berkshire Medical Center, across the continuum. The case manager, utilizing a multidisciplinary team approach, negotiates, procures, coordinates and monitors services and resources needed by patients. The case manager is responsible for reviewing the patient at admission, and in some instances prior to admission, and concurrently throughout the hospital stay for the appropriate level of care and utilization of resources.

The case manager will perform transition care planning activities to secure appropriate post hospital care arrangements and will monitor the patient during the course of their hospitalization. The case manager participates with the performance improvement initiatives undertaken by Berkshire Health Systems.

Additional Requirements:

• Organizational skills. Proven ability to analyze and present data. Computer literacy. Ability to plan, implements, and evaluate change.
• Data management skills preferred
• Proven excellent interpersonal and communication skills
• Ability to maintain confidentiality
• Proven collaboration & negotiation skills with providers, patients, families, insurance organizations and government agencies
• Proven ability to work independently
• Proven excellent organizational skills
• Demonstrated ability to establish and maintain relationships with physicians
• Knowledge of local community resources required
• Knowledge of Medicare, Medicaid, third party commercial payers and reimbursement required
• Computer experience required with proven ability to manage multiple open applications
• Skills in data comprehension, research, analysis, interpretation, and judgement necessary to prepare a comprehensive summary report for files, management, legal and/or regulatory agencies upon request

BERKSHIRE HEALTH SYSTEM WILL NOT CONSIDER ANY TRAVELER WHO RESIDES WITHIN 50 MILES OF FACILITY. To avoid delays in processing, please include perm address at profile upload.

10/12hr shifts are NOT available for this need - DO NOT UPLOAD A TRAVELER WHO WILL NOT WORK FIVE 8HR SHIFTS!

8hrs non-billable orientation Holiday and OT Multipliers - 1.25%

Requirement

Description:

10/12hr shifts are NOT available for this need - DO NOT UPLOAD A TRAVELER WHO WILL NOT WORK FIVE 8HR SHIFTS!

• 3+ years clinical experience in acute care in areas such as internal medicine, surgery, orthopedics, mother/child, cardiology, and oncology
• 3+ years clinical experience in Rehab Setting, Home Health and Long-Term Care would be considered.
• Ability to perform a comprehensive admission and discharge risk assessment related to quality, financial, payer benefit allowances and limitations, risk management and patient satisfaction.
• Knowledge of regulatory and accreditation organizations such as Joint Commission, DPH and Health Grades preferred
• CCMACM – Certified Case Manager or Accredited Case Manager [Preferred]
• RN-BC – Registered Nurse, Board Certification in Case Management [Preferred]
• Meditech Expanse experience [highly preferred]
• Perm address must be included in profile
• Traveler must have their own vehicle for this need
• Any/All RTO must be included in profile. ALL SCHEDULING REQUESTS MUST BE MADE AT THE TIME OF SUBMISSION. Facility will NOT approve scheduling requests at/after time of offer. Please obtain this information prior to submittal. Requests after offer may lead to rescinded offer

PROFILE REQUIREMENTS:

• Work History
• Skills Checklist Operating Room Circulate (pertinent to position), current to 1 year [REQUIRED] [DOCUMENT]
• Skills Checklist RN Case Manager (pertinent to position), current to 1 year [REQUIRED] [DOCUMENT]
• 1 Supervisory Signed Reference (from within the past two years of employment) [REQUIRED] [DOCUMENT]
• Massachusetts RN license - Must be uploaded with profile [REQUIRED] [DOCUMENT]
• Active American Heart Association or client BLS - [REQUIRED] [DOCUMENT]