Demo

RN Case Manager

VCP Staff
Dorchester, MA Full Time
POSTED ON 4/3/2025
AVAILABLE BEFORE 6/2/2025

We are currently recruiting for a temp to perm RN Case Manager in the Boston surrounding area.

13 weeks to start, then transition to permanent.

M-F Day shift,

Must be have an active RN license in the Massachusetts, with a minimum of 2 years Case Management current experienced
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Job OverviewThe RN Case Manager manages a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care.Job.

  • RN Case Manager follows patients from admission to discharge, participates in multidisciplinary rounds with hospitalists, meets and updates patients and families and provides a safe discharge plan for the patient. Knowledge of insurance, Medicare rules and levels of care is needed. UM is not their responsibility, but they work closely with the UM department and must have an understanding of the process.

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  • DescriptionMinimum Qualifications:

1. Massachusetts RN Licensure.2. 3 Years of RN Experience.3. Current Basic Life Support (BLS) Certification.Preferred Qualifications:1. Bachelor of Science in Nursing (BSN).

  • Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.1. Interviews and collects specific information and data from patients and families, contributes to the identification of specific physical, emotional, educational and cultural needs of those patients.2. Maintains documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines.4. Completes a discharge assessment, to include appropriate documentation, according to established policies and procedures.5. Identifies barriers to efficient cost-effective provision of care.6. Identifies expected outcomes individualized to the patient. Collaborates with physician, healthcare team, and the patient/family in decision making and planning of care during hospitalization and in anticipation of discharge.7. Implements the plan of care to achieve the identified expected outcomes for the patient.8. Utilizes community and other resources and systems to implement the plan facilitating referrals when appropriate.9. Provides education for the patients and families and documents according to policy.10. Coordinates activities related to financial/insurance issues, including providing clinical updates to insurance companies.11. Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare and Medicaid. 12. Assists in achieving unit quality scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit.Physical Requirements: 1. Ability to sit for extended periods of time.2. Prolonged standing and walking.3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.Skills & Abilities:1. Ability to plan, implement and evaluate data and individual patient needs after emergency department visits.2. Ability to effectively communicate with patients, families, physicians, and healthcare team.Ability to analyze, evaluate multiple solutions, and solve complex problems using well developed critical & analytical thinking skills.3. Knowledge of and application of the nursing process.4. Excellent time management skills needed to prioritize competing priorities.5. Requires the ability to work independently and establish an effective working relationship with healthcare providers in physician’s offices, community agencies, hospitals and other healthcare facilities.6. Maintains working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations.

Monday-Friday Day shift, some weekends maybe required. Case load is average of 15-20 patients depending on census.

Please send your current updated resume with your contact information.

Thank you

Job Type: Full-time

Pay: $2,725.00 - $2,800.00 per week

Schedule:

  • 8 hour shift
  • Monday to Friday
  • Weekends as needed

Work Location: In person

Salary : $2,725 - $2,800

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