RN Hospital Case Manager

RN Case Manager – Part Time (16 hours)

The Hospital Case Manager is a registered nurse responsible for coordinating clinical care, quality, and financial outcomes for a designated patient population. The role ensures continuity and effective community or post‑acute reentry, leading an interdisciplinary team to develop complex discharge plans.

• Facilitate patient care plans as outlined in the plan of care.
• Lead daily patient care huddles with nursing to direct timely progress along the continuum.
• Work cooperatively as a leading member of the health care team to ensure appropriate use of hospital resources, patient satisfaction, and quality of care.
• Conduct assessments to determine patients’ health‑care and transitional needs.
• Evaluate and ensure appropriateness of admissions and continued stay using evidence‑based criteria.
• Collaborate and manage outcomes with payers through ongoing written and verbal communication.
• Lead discussions with physician advisors and MDs about safe transition plans.
• Direct care to other settings when appropriate and ensure appropriate utilization of patient resources.
• Collaborate with community case managers and other health‑care advisors for a smooth and safe continuum of care.
• Conduct extensive assessments and implement interventions for patients at risk for readmission.
• Manage concurrent denials and work with physicians to overturn for appropriate reimbursement.

• BSN required.
• 3–5 years of clinical nursing experience.
• Hospital case management or care coordination experience strongly preferred.

• Working knowledge of community resources and utilization/quality review standards conducted by third‑party payers.
• Ability to organize and prioritize workload to meet deadlines.
• Excellent interpersonal skills for interacting with all levels of health‑care providers, support staff, and third‑party payers.
• Excellent computer skills.

Weekend and holiday commitment required.

• Competitive total compensation including pay, benefits, and recognition programs.
• High‑quality, low‑cost medical, dental, vision, and other insurance.
• Pet, home, auto, and personal insurance options.
• Certification and continuing education reimbursement.
• 403(b) retirement company match and annual company contribution increase based on years of service.
• Life insurance.
• Well‑being programs including mental, physical, and financial health support.
• Reimbursement for gym membership, equipment, personal trainer, massage, and other well‑being activities.

Compensation Philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for employees. The base pay range reflects factors such as knowledge/skills, relevant experience, training, education, certifications, and other business considerations. The base pay range does not include the comprehensive benefits package and any incentive payments that may be applicable to this role.

• Associate’s Degree in Nursing (required).
• Bachelor’s Degree in Nursing (preferred).

• Case Management Certification.
• Registered Nurse – State of Massachusetts.

Equal Employment Opportunity Employer 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.