SpringfieldMARecruiter Since 2001
the smart solution for Springfield jobs

Acute Care RN Case Manager

Company: MedPartners
Location: Springfield
Posted on: October 12, 2019

Job Description:



At MedPartners, we value the role each team member plays in helping us deliver on our mission of making life better for our healthcare facilities. We take pride in providing a rich and rewarding career opportunities that enable team members to reach their highest potential.

Position Summary:

The ACUTE CARE RN CASE MANAGER is a non-clinical role that collaborates process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost-effective outcomes. The RN Case Manager works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge.


* Utilization Review and Discharge planning monitoring patient's continuum of care.

* Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.

* Assesses and responds to patient/family needs by coordinating efforts of other team members.

* Identifies and resolves barriers that hinder effective patient care.

* Collaborates and consults with physicians on patient's progress and discharge planning needs.

* Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.

* Manages the process to review and, as appropriate, appeal denials received from payers.

* Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.

* Maintains knowledge of resources and facilities available to patients and family members.

* Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.

* Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.

* Orients and mentors new staff members as needed.


* at least 2 years Acute Care Case Management Experience, recent experience/knowledge of utilization review, discharge planning and/or case management tools preferred.

* Prior clinical nursing experience required.


* Associate of nursing degree required

* Four-year Bachelors of Nursing degree preferred

* Graduate or professional work or advanced degree preferred


* Licensed RN required

* Case Management certifications preferred (ACM, CCM, etc.)


MedPartners offers opportunities for learning and career development; competitive pay; and a comprehensive benefits program. We promote a diverse and inclusive workplace. Our team members have a voice in their work through surveys, pulses and town halls.

We invite you to learn more about MedPartners. https://www.medpartners.com/jobs/

Keywords: MedPartners, Springfield , Acute Care RN Case Manager, Executive , Springfield, Massachusetts

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Project Manager
Description: We're reimagining sports and technology. DraftKings is bringing sports fans closer to the games they love and becoming an essential part of their experience in the process. An industry pioneer since our (more...)
Company: DraftKings
Location: Boston
Posted on: 10/24/2019

Clinical Data Management & Technology (CDMT) Contractor V
Description: Seeking a Clinical Data Management Technology Contractor V for a 12 month assignment in Cambridge, MA. br br OBJECTIVES:Responsible for timely and high quality data management deliverables.Establish (more...)
Company: Kelly Services
Location: Cambridge
Posted on: 10/24/2019

District Operations Manager
Description: 1Stanley Black Decker is a vibrant, diversified, global industrial company a company of enduring substance since 1843 that is striving to be one of the most innovative and sustainable companies in the (more...)
Company: Stanley Black & Decker
Location: Boston
Posted on: 10/24/2019

Product Manager
Description: About Us We are a well positioned technology/CRM/software solutions company in the political fundraising and non-profit space. Just a block away from the White House our beautiful office is in the heart (more...)
Company: Craft Recruiting
Location: Somerville
Posted on: 10/24/2019

Complex Executive Housekeeping Manager
Description: Responsible for assigning and supervising work activities of housekeeping and laundry department associates to insure clean laundry, and clean, orderly and attractive guest rooms, meeting rooms, lobby, (more...)
Company: LIXI GROUP.
Location: Lexington
Posted on: 10/24/2019

Project Manager II
Description: br br PROJECT MANAGER II br br Job Location US-MA-Boston br br Shift br br Full-time br br Type br br Regular Full-Time br br OVERVIEW br br Your Next Career br br (more...)
Company: eResearch Technology
Location: Boston
Posted on: 10/24/2019

Director of Obstetrical Nursing Services
Description: Job DescriptionJob Summary Reporting to the Vice President of Patient Care Services and Chief Nursing Officer, assumes 24-hour responsibility for management of Mother/Baby, Nursery, Special Care Nursery, (more...)
Company: Emerson Hospital
Location: Concord
Posted on: 10/24/2019

Data Science Manager - Boston
Description: Employer: Wayfair LLC Title: Data Science Manager Location: 100 Huntington Avenue, 4 Copley Place, Boston, MA 02116 / 500 Boylston Street, Suite 202, Boston, MA 02116 Duties: Lead research, design, and (more...)
Company: Wayfair
Location: Boston
Posted on: 10/24/2019

Regional Sales Director (Eastern US)
Description: Regional Sales Director RSD - Eastern US. We are growing rapidly, and we are starting to work with some of the largest payer plans in the country for Medicare Advantage. You must have 2 years selling (more...)
Company: Savonix, Inc.
Location: Boston
Posted on: 10/24/2019

Sourcing Manager
Description: By clicking the Apply button, I understand that my employment application process with Takeda will commence and that I agree with Takedas Privacy Notice, Privacy Policy and Terms of Use. Job Description (more...)
Company: Millennium Pharmaceuticals, Inc.
Location: Boston
Posted on: 10/24/2019

Log In or Create An Account

Get the latest Massachusetts jobs by following @recnetMA on Twitter!

Springfield RSS job feeds