Under the direction of the Clinical Director of Care Management and within established organizational and departmental policies and procedures the Case manager coordinates with physicians, nurses, social workers, and other health team members to expedite medically appropriate, cost-effective Case.
The Case manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Responsible for covering the Emergency Department, Surgical Day Care, Medical Day Stay, and Admitting.
This position is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson Hospital.
Education
- Other Certificate/Diploma Nursing required or Bachelor's Degree Nursing preferred
Can this role accept experience in lieu of a degree? No
Licenses and Credentials
- Registered Nurse [RN - Massachusetts]
Experience
- One (1) to three (3) years' experience in discharge planning, utilization management and/or reimbursement 2-3 years required
- Experience or training in critical pathways, clinical guidelines, outcomes management and demonstrated clinical expertise and experience with complex discharge planning required
Knowledge, Skills and Abilities
- BSN required or must be enrolled in BSN program or actively in pursuit of BSN
- Case Management certification desirable
- Strong demonstrated knowledge of community health services required
- Demonstrated knowledge of InterQual criteria preferred
- Demonstrated proficiency with personal computers, with word processing as well as ability to learn MIDAS required
- Demonstrated excellent interpersonal, organizational and communication skills and ability to collaborate effectively with physicians and other members of the health care team required
- Demonstrated ability to orchestrate many activities and manage multiple priorities required.
Physical Requirements
Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)
Cooley Dickinson Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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