Job Title: Registered Nurse (RN) - Case Manager
Location: 330 Mount Auburn Street, Cambridge, MA 02138
Shift: Monday-Friday, 8:00 AM - 4:30 PM (occasional weekend may be required)
Contract Length: 13 weeks
Guaranteed Hours: 40 hours/week
Position Summary: We are seeking an experienced Registered Nurse Case Manager for a contract role in a busy hospital setting. The RN Case Manager will be responsible for utilization review, discharge planning, and coordinating appropriate levels of patient care in collaboration with physicians and the care team.
Key Responsibilities: - Perform utilization reviews and discharge planning for inpatient admissions.
- Apply InterQual criteria to assess appropriate inpatient or outpatient levels of care.
- Collaborate with attending and house staff on alternative care plans when appropriate.
- Coordinate discharge planning with nursing and social work staff.
- Identify and report days not meeting acute level-of-care criteria.
- Work closely with patients and families to plan post-hospital care.
- Monitor and manage observation status patients.
- Adhere to all insurance, regulatory, and contractual guidelines.
- Participate in weekend, holiday, and on-call rotation as required.
- Follow MACIPA Case Management guidelines and standards.
Required Qualifications: - Current and active RN license in the state of Massachusetts (must be valid at submission).
- Bachelor's degree preferred.
- Minimum 3 years of medical/surgical nursing experience.
- At least 2 years of case management or utilization review experience.
- Strong verbal communication, organizational, and problem-solving skills.
- Proficient in basic computer and typing skills.
- EPIC EMR experience preferred.
Additional Information: - COVID-19 vaccine and booster are required (no exceptions).
- Local candidates within 75 miles not accepted.
- Candidates must not have worked at any Beth Israel facility (permanent or travel) in the past 6 months.