Case Manager-MNA MRMC - Case Mgmt - 32 hr days

Posted 4 Hours Ago
Be an Early Applicant
Milford, MA, USA
In-Office
84K-177K Annually
Mid level
Healthtech • Telehealth
The Role
Coordinate and facilitate individualized inpatient care and discharge planning for assigned patients. Assess admission appropriateness, identify high-risk patients, initiate referrals, support utilization management, develop interdisciplinary guidelines, track compliance and utilization data, and collaborate with physicians, families, and community resources to ensure timely, fiscally responsible transitions of care.
Summary Generated by Built In
Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Exemption Status:

Exempt

Hiring Range:

$84,011.20 - $176,987.20

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Monday through Friday, Weekends - Every Third Weekend

Scheduled Hours:

8:00am - 4:30pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

32

Cost Center:

26000 - 4402 Case Management

Union:

MNA-Milford Regional Medical Center (Massachusetts Nurses Association)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

In collaboration with other members of the healthcare team, the Case Manager is accountable for coordinating and facilitating the management of care for an assigned group of patients. The goal is to ensure a well-coordinated, individualized care experience through outcome-oriented care within a fiscally responsible framework. This includes early assessment of discharge needs, resource availability, and communication among healthcare team members and families, spanning pre- and post-hospital care.

I. Major Responsibilities:

1.    Assessment: Evaluate appropriateness of inpatient admission and assess patient needs to identify high-risk individuals and initiate referrals.
2.    Multidisciplinary Practice Guidelines: Participate in the development and monitoring of interdisciplinary guidelines and variance tracking.
3.    Collaborative Practice: Work with physicians and healthcare providers to enhance quality of care and utilization management.
4.    Discharge Planning: Facilitate timely discharge through early intervention and coordination of services.
5.    Data Management: Monitor compliance, collect utilization data, and identify cases for quality and utilization review.

II. Position Qualifications:
License/Certification/Education:

Required:
1.    BSN
2.    Current Massachusetts RN license
Preferred:
1.    CCM certification

Experience/Skills:
Required:
1.    3–5 years of clinical experience with sound judgment and knowledge of current medical care and support systems
2.    Previous utilization review, quality assurance, or community experience
3.    Strong interpersonal and analytical skills
Preferred:
1.    N/A

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [email protected]. We will make every effort to respond to your request for disability assistance as soon as possible.

Skills Required

  • BSN
  • Current Massachusetts RN license
  • 3-5 years of clinical experience with sound judgment and knowledge of current medical care and support systems
  • Previous utilization review, quality assurance, or community experience
  • Strong interpersonal and analytical skills
  • CCM certification
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The Company
13,520 Employees
Year Founded: 1998

What We Do

UMass Memorial Health is the largest healthcare system in Central Massachusetts, providing comprehensive medical services, including hospital care, behavioral health, and specialized pediatric care.

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