RN Case Manager (tuftsmedicine)

Job Description

Job Overview

The RN Case Manager manages a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care.

Hours: Day Shift

Location: Saints or Main campus

Job Description

Minimum Qualifications:
1. Massachusetts RN Licensure.

2. 3 Years of RN Experience.

3. Current Basic Life Support (BLS) Certification.

Preferred Qualifications:

1. Bachelor of Science in Nursing (BSN).

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned.

• Interviews and collects specific information and data from patients and families, contributes to the identification of specific physical, emotional, educational and cultural needs of those patients.
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• Maintains documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines.
• Completes a discharge assessment, to include appropriate documentation, according to established policies and procedures.
• Identifies barriers to efficient cost-effective provision of care.
• Identifies expected outcomes individualized to the patient. 
• Collaborates with physician, healthcare team, and the patient/family in decision making and planning of care during hospitalization and in anticipation of discharge.
• Implements the plan of care to achieve the identified expected outcomes for the patient.
• Utilizes community and other resources and systems to implement the plan facilitating referrals when appropriate.
• Provides education for the patients and families and documents according to policy.
• Coordinates activities related to financial/insurance issues, including providing clinical updates to insurance companies.
• Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare and Medicaid. 
• Assists in achieving unit quality scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit.

About Lowell General: 
For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.
 

About Tufts Medicine: 
A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being.

Tufts Medicine Lowell General Hospital is an Equal Opportunity Employer.