12 registered nurse case manager jobs found

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Hospice RN Float plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. Provides appropriate palliative and hospice care through assessment, teaching, counseling and direct care to client and/or family members. Coordinates care with other community resources as needed. Coordinates care with other team members and attends Hospice Interdisciplinary Team meetings as indicated Assumes responsibility of established caseload of patients across all branches based on Agency need, as directed by supervisor. The location where this role is based may not be predictable or consistent and travel will be required...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. JOB SUMMARY: Beth Israel Lahey Health and Mount Auburn Hospital are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values which can be reviewed here Mission, Vision & Values | Mount Auburn Hospital. The Case Manager Registered Nurse (RN) is responsible for coordinating and facilitating patient-centered care across the continuum, ensuring timely, effective, and appropriate utilization of healthcare resources. Working collaboratively with physicians, advanced practice providers, nursing staff, social workers, rehabilitation services, and community agencies, the Case Manager RN assesses patient needs, develops discharge and transition plans, and promotes optimal clinical outcomes. The Case Manager RN serves as a patient advocate and resource,...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Beth Israel Lahey Health and New England Baptist Hospital are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values which can be reviewed here Our Values. The Registered Nurse systematically and continuously collects and assesses data in collaboration with the interprofessional team to provide therapeutic care with the patient and/or family. He/she performs all required elements of a nursing assessment including but not limited to physical examination, assessment of readiness to learn, psychosocial assessment, functional assessment and utilization of patient/family specific assessment scales as required. The Registered Nurse is an active member of the inter-professional team and collaborates in the development, execution and evaluation of the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Shared position supporting BILH Health at Home and BILH Hospital at Home. Position is based in Charlestown and field. The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities in accordance with home care regulations, hospital regulations and payer guidelines. The registered nurse is also trained in caring for Acute Hospital Care at Home patients, delivering care in the patient’s home, in partnership with the Command Center multidisciplinary clinical team. Job Description: Essential Duties & Responsibilities including but not limited to: Patient Care 1. Assumes responsibility...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Based out of Mount Auburn Hospital. No weekends! Job Description: Essential Duties & Responsibilities including but not limited to: · The Hospital Based Admissions Nurse determines appropriateness of General Inpatient (GIP) Level of care, coordinates and conducts preadmission activities · Increases accessibility to hospice care, to manage the hospice admission process via effective communication · Describes and explains hospice services to a potential patient/family and elicits responses to questions regarding patient/family attitude toward hospice care, physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program · Gathers pertinent information necessary for admission · Speaks to patient/family about insurance coverage and financial obligations, using...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. 40 hours per week; 9:00am-5:30pm or 9:30am-6:00pm; Rotate Every Third Weekend & Holidays Job Description: Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical, surgical services, ICU, and as needed for outpatient areas including but not limited to the Emergency Department, PACU and Preadmission testing. The case manager consults and collaborates in activities related to the establishment of appropriate levels of care. He/She reviews patient's medical records and participates in direct and indirect communication with care givers to ensure continued appropriate level of acre, including the level of care of elective surgical cases. The case manager provides ongoing education to the physicians and nurses about levels of care. The RN Case manager, performs, consults, and collaborates in...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities in accordance with home care regulations and payer guidelines. This position will assist where needs are throughout the assigned branch based on vacancy positions, leaves/vacations and priority patients. This RN will also be a primary preceptor for new staff as needed throughout the branch. Job Description:   Essential Duties & Responsibilities including but not limited to:  Patient Care 1.     Assumes responsibility to coordinate patient care for the temporarily assigned caseload including but not limited to: appropriate...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Contributes to the Hospital’s mission by supporting proper classification and a safe plan of care. This professional licensed position will have an impact on finance and growth by classifying patients’ status appropriately and supporting the workflow and care plan to ensure the delivery of high quality, safe patient care while maintaining an expected length of stay within budget. This role is critical to the denial management, utilization review, and discharge planning process and will support the evolution towards a system approach in this realm. This role functions in a high integrity manner and as a case management and utilization expert, collaborating interdepartmentally to educate and improve processes to appropriate classify patient status, which ultimately improves reimbursement. The Utilization Management Specialist will impact the patient experience and...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Beth Israel Lahey Health and New England Baptist Hospital are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values which can be reviewed here Our Values. The Registered Nurse systematically and continuously collects and assesses data in collaboration with the interprofessional team to provide therapeutic care with the patient and/or family. He/she performs all required elements of a nursing assessment including but not limited to physical examination, assessment of readiness to learn, psychosocial assessment, functional assessment and utilization of patient/family specific assessment scales as required. The Registered Nurse is an active member of the inter-professional team and collaborates in the development, execution and evaluation of the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Provides operational oversight, professional guidance, and direction to the Care Transitions team, ensuring services are provided efficiently and effectively. Regularly reviews and revises, as necessary, relevant standards and ensures services performed comply with all hospital, system, and regulatory agency standards. Coordinates provision of services with other nursing and medical functions and serves as a technical resource for departmental personnel. As an expert in the assigned area serves as a resource person to staff and physicians. Job Description: Plans and administers through the effective management and delivery of care transitions services following all hospital, system, and regulatory agency standards. Assists with ensuring quality, financial, and customer service objectives are met, including data necessary to monitor and measure compliance...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Essential Duties & Responsibilities including but not limited to: · Oversees orientation for newly hired staff · Assesses the competency level of incoming staff and establishes individual plans to ensure competency requirements of clinical staff are achieved. · Supports preceptors and managers in assisting newly hired clinicians in the successful transition to the hospice specialty as practiced at Beth Israel Lahey Health at Home. · Coaches and evaluates clinical/critical thinking skills of staff and provides timely feedback to clinical leadership staff on performance expectations. · Conducts onsite training of a wide variety of clinical skills in a classroom setting and during patient home visits. · Completes joint visits and acts as a resource for ongoing skill development of clinical staff. · Develops,...

Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor, the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology, high-cost drug, and off-label drug authorizations. The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we...