- Facilitates patients 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 health care and transitional needs. Su
- 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 MD's 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 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
- Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate
- Excellent computer skills
- Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate
- Excellent Compensation High-quality, low-cost medical, dental and vision and life insurance
- Generous PTO
- Continuing education support and reimbursement
- 403b retirement company match & annual company contribution based on years of service.
- Wellbeing programs that include but are not limited to mental, physical, and financial health.
- Pet, home, auto and personal insurance
- Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more
- Wellbeing programs that include but are not limited to mental, physical, and financial health.
- Baystate Medical Center in Springfield
- Baystate Children's Hospital (located at Baystate Medical Center)
- Baystate Franklin Medical Center in Greenfield
- Baystate Wing Hospital in Palmer
- Baystate Noble Hospital in Westfield
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Case Manager
2 hours ago
Vitra Health Springfield, United StatesAbout the Role: Full Time, Part Time ~Let's talk about what works for YOU · Job Location ~ Greater Springfield Area · Our company is growing, and we believe that our team is the key to our success. That is why we are looking for a Social Services Case Manager to support our clien ...
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Case Manager
18 hours ago
Vitra Health Springfield, United StatesAbout the Role: Full Time, Part Time ~Let's talk about what works for YOU Job Location ~ Greater Springfield Area Our company is growing, and we believe that our team is the key to our success. That is why we are looking for a Social Services Case Manager to support our clients i ...
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Case Manager
11 hours ago
South Middlesex Opportu Springfield, United StatesJob Description · Job DescriptionSUMMARY · The case manager at Open Door Social Services assesses client needs and assists clients in developing and enacting a plan to address those needs. She/he provides a variety of services depending on individual client circumstances and abil ...
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Case Manager
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New North Citizens Council Inc Springfield, United StatesJob Description · Job DescriptionSalary: 18.00 · SUMMARY: Promoting Adolescent Strengths (PAS) Case Manager provides services to adolescents and their parents/caretakers, who are consumers in the Department of Children and Families. These families reside in the Springfield, Van W ...
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Case Manager
11 hours ago
South Middlesex Opportu Springfield, United StatesJob Description · Job DescriptionSUMMARY · The case manager at Open Door Social Services assesses client needs and assists clients in developing and enacting a plan to address those needs. She/he provides a variety of services depending on individual client circumstances and abil ...
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Case manager
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Ambe Healthcare Staffing Springfield, United StatesSkill: RN Case ManagerThe Inpatient Care Coordinator as part of the interdisciplinary team directs and coordinates the care of patients from their admission through transfer or discharge to achieve optimal resource utilization and discharge planning outcomes. The ICC performs com ...
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Field Nurse Case Manager
4 days ago
National Care Advisors Springfield, United States Full timeNCA is in search of a Nurse Case Manager based in the Springfield area who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and collaboration with the primary family caregivers, attorneys, financ ...
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Clinical Case Manager
3 weeks ago
Positive Regard Network Chicopee, United StatesCenter School and Springdale Education Center, part of the Positive Regard Network, invite applicants to apply for the positions of Full Time Clinical Case Manager (CCM), to provide intensive counseling and support to students in a school setting through group therapy, case manag ...
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Case Manager
3 weeks ago
Staffing Now Springfield, United StatesSNI Companies is hiring Case Managers for a growing non-profit in Springfield, MA. · Don't miss the chance to join this team of compassionate community leaders, who care not only for clients but for their employees · Full Time, Monday-Friday, 8:30am-5:00pm · $21 per hour start ...
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Case Manager
3 weeks ago
Gandara Mental Health Center Springfield, United StatesCase Manager \| Pride -Adolescent & Family Services Requisition Number: CASEM002227 Full-Time Northampton, MA 01062, USA Description Why Work for Gandara: Explore the career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clinical services, Adolescent a ...
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Case Manager
4 weeks ago
Center for Human Development West Springfield, United StatesThe Case Manager provides outreach and support services to clients with psychiatric or substance use disorder diagnoses to enable them to utilize clinical treatment services and other supports. The Case Manager assists clients to attain his/her clinical treatment plan goals in ou ...
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Case Manager
4 weeks ago
Center for Human Development West Springfield, United StatesThe Case Manager provides outreach and support services to clients with psychiatric or substance use disorder diagnoses to enable them to utilize clinical treatment services and other supports. The Case Manager assists clients to attain his/her clinical treatment plan goals in ou ...
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Clinical Case Manager
3 weeks ago
Positive Regard Network Chicopee, United StatesCHICOPEE Clinical Case Manager Job Description School Based Services (SBS), part of the Positive Regard Network, invites applicants to apply for the position of Clinical Case Manager (CCM), to provide intensive counseling and support to students in a school setting through group ...
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Protective Services Case Manager
1 week ago
Greater Springfield Senior Services Springfield, United StatesFull-time, 35 hours/week · NOT remote · Full-time position in Protective Services Unit of Elder Services Agency. Duties include intake, investigation, service plans and monitoring cases of abuse and neglect of elders. Requires home visits, knowledge of community resources, abil ...
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Case Manager- Mission Program
1 week ago
Behavioral Health Network Springfield, United StatesAre you experienced in providing care for individuals overcoming co-occurring substance use and mental health issues? · Join our team of competent and compassionate professionals as a Case Manager in the MISSION Springfieldprogram at Behavioral Health Network · Your experience, ...
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Protective Services Case Manager
2 weeks ago
Greater Springfield Senior Services, Inc. (GSSSI) Springfield, United StatesJob Description · Job DescriptionFull-time, 35 hours/week · NOT remote · Full-time position in Protective Services Unit of Elder Services Agency. Duties include intake, investigation, service plans and monitoring cases of abuse and neglect of elders. Requires home visits, knowled ...
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VNA RN Case Manager
2 weeks ago
The Overlook West Springfield, MA, US, United StatesJob Description · POSITION TITLE: Registered Nurse (RN) Case Manager · FLSA STATUS: Non-Exempt · REPORTS TO: Nursing Manager · SUPERVISES: LPNs, Home Health Aides · DEPARTMENT: Home Care · COMPANY: OVNA · POSITION SUMMARY: · The Registered Nurse Case Manager plans and provides in ...
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Case Manager
1 week ago
Gandara Mental Health Center, Inc. Holyoke, United StatesJob Description · Job DescriptionWhy Work for Gandara: · Explore the career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clinical services, Adolescent and Family services, Adult Residential, Maintenance and Administration Whether that is in an entry ...
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Case Manager in Massachusetts
3 weeks ago
AB Staffing Springfield, United StatesCase Manager - Springfield, MA 01104 · Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing Travel Nurses in facilities throughout the United States. Our travel assignments range from three (3) months to one year, and can be add ...
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RN Case Manager
3 weeks ago
Software Galaxy Systems Springfield, United StatesJob description & requirements: · Title : RN Case Manager · Location: Springfield, MA · Duration: 13 weeks + (Possibilities of extension) · Hours : 36 hours per week · Shift : 12 hours, 3 days (07:00 AM to 07:00 PM & 07:00 PM to 07:00 AM ) · If you are not interested o ...
Registered Nurse, Case Manager - Springfield, United States - Baystate Health
Description
Baystate Health, a nationally recognized leader in healthcare quality and safety, is searching for a Full Time, RN Case Manager to join their Inpatient Case Management Team.
The 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 Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans.
Responsibilities:
Required Work Experience:
Skills and Competencies:
THE ADVANTAGES OF WORKING WITH BAYSTATE
Baystate Health, western Massachusetts' only academic center and tertiary care provider has a long and proud tradition of continuous learning and improvement. We educate and train hundreds of healthcare workers every year and advance knowledge about new approaches to care. At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. We are committed to increasing diverse representation across our organization. Together our inspired and compassionate teams manage the whole health needs of all communities in need.
We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate
OUR COMPENSATION PHILOSOPHY
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role.
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.
About Baystate Health
Baystate Health (BH) is one of New England's leading and largest integrated health care organizations, serving a population of nearly one million people throughout western New England. With roots dating back to the founding of Springfield City Hospital in 1873, Baystate Health has been providing high-quality and compassionate health care in western Massachusetts for more than 145 years. With more than 12,000 employees, a medical staff of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health system includes five Massachusetts hospitals and the Baystate Mary Lane Outpatient Center in Ware:
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Registered Nurse, Case Manager professionals in Springfield
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Kayla Lear
Customer Service Specialist
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Aubrey Romani
Clinical Talent Aquisition