Registered Nurse (RN) Case Manager

• Assignment Category: Part Time 2 - Per Diem
• Pay Range: $36.95 - $57.27 **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; Education provided to physicians, patients, families and caregivers.

Responsibilities

• Accurate medical necessity screening and submission for Physician Advisor review
• Identifying and referring complex patients to Social Work Services
• Collaborating with physicians, office staff and ancillary departments
• Timely complete and concise documentation in Case Management system
• Identification and documentation of  potentially avoidable days, 
• Identification and reporting over and underutilization
• Performs related duties as required

Qualifications

• Required:
  • Education: Graduate of an accredited school of nursing
  • Experience: 2 years of acute hospital patient care experience
  • Licensure/Certification: 
    • RN
    • Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy
    • Active RN license for state(s) covered.

• Preferred:
  • Education: Academic degree in nursing (bachelor's or master's)
  • Experience: Acute hospital case management experience
  • Licensure/Certification: Accredited Case Manager (ACM)

About Us

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

At Metrowest Medical Center - Consolidated, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status