RN Case Manager- Hybrid

Title: RN Case Manager (hybrid position)

Location: Newton, MA 02459

Duration: 13- week contract

Pay: $72/hr on w2

Shift: 8a-4:30p; M-F. Weekend rotation

ID: 4452

Job Description:

Hospital Case Management Role Responsibilities Case Management Process

• Patient identification and selection: Focuses on identifying patients who would benefit from case management.
• Assessment and problem/opportunity identification.
• Development of the care coordination plan: Develops a plan and prioritizes the patient’s needs, as well as, determines the type of services and resources that are available to address the desired outcomes.
• Implementation and care coordination plan. Facilitates the plan in collaboration with others.
• Evaluation of the plan and follow-up. Periodically evaluates the plan and revises as needed. Discharge Planning
• Identifies patients who may require post discharge services utilizing high risk screening criteria, referrals, or other available resources.
• Completes an assessment of patient discharge planning needs based upon medical condition including previous history, functional status, psychosocial support, living situation, and previous post discharge or homecare services.
• Includes patient and/or family and caregivers in the discharge planning process through verbal and written communication.
• Facilitates safe, effective, and efficient discharge plans in collaboration with the patient, the family, caregivers, the attending and/or primary care physician, nursing staff, other appropriate clinical staff, third party payers, and/or community-based care coordinators or other appropriate outside agencies.
• Conducts ongoing assessment of the patient’s health status, ensuring the patient is appropriate for the services/care provided and revising the post-acute plan as needed.
• Ensures the implementation of the discharge plan including making facility/agency referrals and determining availability of services.
• Ensures whenever possible, third-party payer approval of services needed for post-acute care.
• Acts as consultant to physicians and hospital staff regarding resources, regulations, and reimbursement.
• Documents the assessment, plan, and ongoing notes as part of the health record according to hospital and departmental policy.
• Completes the case management sections of necessary discharge paperwork if applicable.
• Facilitates the paperwork sent to post discharge service providers with the goal of improving transitions of care.
• Participates in the planning, implementation, monitoring, and follow-up of patients either prior to or following hospital episode of care in collaboration with external healthcare providers including Primary Care Physicians, as well as, community-based organization. Utilization Management
• Provides expert guidance to the medical, nursing, and rehab staff, as well as, other Hospital departments regarding Hospital criteria, insurance regulations, care coordination efforts, and discharge planning activities.
• Performs admission and concurrent utilization management using Hospital approved criteria as a guide for determination of appropriate level of care.
• Completes accurate insurance utilization reviews and obtains third party payer approval of services needed for post-hospital care as needed.
• Identifies utilization management issues.
• Identifies and intervenes in service delays and inappropriate utilization of health care resources
• Identifies patients at high risk for readmission and influences enhanced care practices and/or other interventions.
• Identifies methods to reduce readmissions.

Must have:

• Case management experience
• RN License in the state of MA
• Covid card or religious exemption form

Should you be interested, let's discuss this briefly at your earliest convenience and please feel free to contact me at 703-652-6500, my name is Katie, I am available from Mon to Fri at 8a-5p EST.

Who We Are?

Since 2001 InfiCare has been providing contract and direct hire staffing services to its clients across the US.

Click below links to review some of the best workplace awards won by InfiCare:

https://www.greatplacetowork.com/certified-company/7037388

https://www.inc.com/profile/inficare

Job Types: Full-time, Contract

Pay: $70.00 - $72.00 per hour

Benefits:

• 401(k)
• Health insurance

Medical specialties:

• Home Health

Schedule:

• 8 hour shift
• Monday to Friday
• Weekend availability

Work setting:

• Hospital

Ability to commute/relocate:

• Newton, MA 02459: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Case management: 1 year (Required)
• Management/leadership role in Hospital setting: 1 year (Required)

License/Certification:

• RN license active in the state of MA (Preferred)

Work Location: In person

Speak with the employer
91 7036526500

Salary : $72 - $0