RN, Hospital Case Manager Per Diem R37782

Job Overview

Req#: R37782

Category(s): Nursing, Care and Case Managers

Full Time / Part Time: Per Diem

Shift: First

Compensation: $46.22 – $55.87 – $69.33 per hour (base salary)

The RN Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The role includes overseeing an efficient plan that ensures continuity and effective community or post‑acute reentry. The case manager leads the interdisciplinary team in developing complex discharge plans.

• Facilitates patient care plan as called for in the plan of care.
• Leads daily patient care huddles with nursing to direct timely progress along the continuum.
• Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients' healthcare and transitional needs.
• Evaluates and ensures appropriateness of admissions and continued stay using evidence‑based criteria.
• Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties.
• Leads discussions with Physician advisors and MDs about safe plan for transitions.
• Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate.
• Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan.
• Conducts extensive assessments and implements interventions for patients at risk for readmissions.
• Manages concurrent denials and works with physicians to overturn for appropriate reimbursement.

• BSN strongly preferred.
• 3‑5 years clinical nursing experience.
• Hospital case management, care coordination experience strongly preferred.

• Requires a working knowledge of community resources and utilization/quality review standards and activities conducted by third‑party payers.
• Ability to organize and prioritize workload in order to meet deadlines.
• Excellent interpersonal skills to interact with all levels of health care providers, support staff, and third‑party payers.
• Excellent computer skills.

• Per Diem
• Rotating weekends: approximately 6 weekends a year
• Rotating holidays: 1 holiday a year
• Baystate Medical Center, 759 Chestnut Street, Springfield, MA

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Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.