the smart solution for Springfield jobs

Transitions of Care Nurse

Company: Commonwealth Care Alliance
Location: Springfield
Posted on: April 19, 2019

Job Description:


The Transitions of Care Inpatient Utilization Management (UM) Review Nurse
Commonwealth Care Alliance s (CCA) Transitions of Care Unit is responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, under the provisions of CCA s benefits plan


* On-site presence and telephonic coverage at assigned hospitals, skilled nursing facilities and long term care facilities where there are CCA members admitted.
* Utilizes clinical criteria including Interqual to determine level of care decisions
* Authorizes and makes service decisions based on member s needs including requests for rehab or referral to outside specialists. Utilizes CCA resources, clinical decision support tools and the primary care team to help inform decision-making.
* Works collaboratively with attending MD, NP at facility and CCA Transitions of Care Unit to determine and communicate appropriate level of care.
* Works with facility staff to identify and coordinate care plans and discharge plans
* Oversees care provided in assigned facility. Addresses concerns as they arise. Detects/reports quality of care concerns. Participates in resolution and recommends process improvements.
* Facilitates communication between facility team, member, family and primary care team as needed.
* Actively participates in care planning meetings; family meetings; discharge planning.
* Demonstrates a comprehensive understanding of chronic disease management and preventive health maintenance. Obtains data as needed. Keeps medical records up to date with member s information. Documents encounters within 48 hours.
* For Long Term Care patients, performs comprehensive assessments every 6 months or with significant change in condition.
* For all patients, promotes principles of empowerment, self-efficacy and independence.
* Makes home visits within 48 hours to members discharged from facilities as needed.


Minimum Education required: Bachelor's Degree in Nursing
Licensed RN in the Commonwealth of Massachusetts
Minimum Years Experience required:
5 years of related work experience

Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.

Keywords: Commonwealth Care Alliance, Springfield , Transitions of Care Nurse, Healthcare , Springfield, Massachusetts

Click here to apply!

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

I'm looking for
in category

Other Healthcare Jobs

Physician: Westchester County Facility needs a Hospitalist - JOB-
Description: An exciting hospitalist opportunity is now available at a multi-specialty group in New York. Your schedule will be 7 on and 7 off with 9-hour shifts Monday through Friday, and then 16 hours on either (more...)
Company: CompHealth
Location: White Plains
Posted on: 04/19/2019

Critical Care Nursing Coordinator
Description: An award-winning hospital in Connecticut is searching for an ICU Intensive Care Unit Nurse Coordinator to join their amazing team. br This 350-bed not-for-profit hospital continues to provide exceptional (more...)
Company: Nurse Management
Location: White Plains
Posted on: 04/19/2019

Part-Time Dental Hygienist
Description: Part-Time Dental Hygienist 1st Advantage Dental Group, a trusted community dental group is growing and seeks a Dental Hygienist for our White Plains practice.We are seeking a talented Dental Hygienist (more...)
Company: 1st Advantage Dental Group
Location: White Plains
Posted on: 04/19/2019

Physical Therapist
Description: Physical Therapist Well known, award winning Hospital in Massachusetts in search for several Physical Therapists for their outpatient and Home Health Departments. New Graduates
Company: CompHealth
Location: Pittsfield
Posted on: 04/19/2019

Physician: A Locums Psychiatrist Is Wanted in NY - JOB-25449
Description: A New York-based outpatient facility is currently seeking a locum tenens psychiatrist. The assignment schedule is Monday - Friday
Company: CompHealth
Location: Troy
Posted on: 04/19/2019

Description: LTC Licensed Practical Nurse LPN Do you love fast paced environments in a reputable Long Term Care Facility We have openings in Pittsfield, Massachusetts for Licensed Practical Nurses LPN . Job Details (more...)
Company: General Healthcare Resources, Inc.
Location: Pittsfield
Posted on: 04/19/2019

Registered Nurse Case Manager, Nurse Case Manager Supervisor
Description: Brien 13 br We are actively recruiting for the following nursing positions: 13 br Registered Nurse Case Manager Office-Based Opioid Treatment 13 br The Office-Based Opioid Treatment OBOT (more...)
Location: Pittsfield
Posted on: 04/19/2019

Certified Physical Therapist/ PT Sign on BONUS - Greater White Plains,
Description: Position br br FOX wishes to work with top-caliber Physical Therapists in our Greater White Plains NY team This Physical Therapist- PT position will be providing outpatient services in the homes (more...)
Company: Fox Rehab
Location: White Plains
Posted on: 04/19/2019

On-Demand Health Insurance Agent (contract, remote, daily commission p
Description: On-Demand Health Insurance Agent - work when where you want, free leads through your platform access Contract Health Insurance Agent - work when where you want, we generate thousands of free leads (more...)
Company: Assurance
Location: Pittsfield
Posted on: 04/19/2019

Dermatologist job opportunity with White Plains hospital, 25 Miles from Manhattan, NY
Description: Dermatology opening in White Plains, New York. This and other physician jobs brought to you by DocCafe.com JOB TITLE: DERMATOLOGISTJOB TYPE : FULL TIME White Plains Hospital Physician Associates WPPA (more...)
Company: White Plains Hospital
Location: White Plains
Posted on: 04/19/2019

Log In or Create An Account

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

Springfield RSS job feeds