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Registered Nurse Case Manager
Ref No.: 18-02962
Location: Gardner, Massachusetts
Position Type:Contract
Experience Level: 1 Years
Start Date: 03/19/2018
Title : RN Case Manager
Duration : 3+ Months Contract
Location : Gardner, MA 01440
Start : ASAP

MA- Registered Nurse Case Management
Job Description:
  • Performs utilization review for a specific patient population.
  • Works jointly with the Hospitalists and PCP's. Attends daily rounds.
  • Assess and plan interdisciplinary plan of care, providing appropriate utilization of resources and coordinates a safe and timely discharge.
  • Communicates precisely with the social worker in determining the proper plan of care for each patient.
  • Notifies third party payers of clinical updates as defined by individual contracts.
  • Demonstrates knowledge of computer skills and specifically Interqual.
  • Participates on the Utilization Management Committee. Partakes in case conferences as needed.
  • Maintains patient confidentiality as specified by HIPAA regulations.
  • Supports and participates in the development of the Case Management Department.
  • Maintains a daily census of 20-30 patients per day.
  • Call patients after discharged to go home.
  • May provide case management to other hospital areas such as: ED, Outpatient Services and CDIS.

Requirement :
State License MA – RN license required
Minimum Years of Experience:1 year of Case Management and Utilization Management required