Job description

Type: Case Manager RN

Location: Pittsfield, MA

Fidé is currently seeking a Case Manager RN with 2+ years of current experience for a 13 -week contract in Pittsfield, MA.

The Case Manager is responsible for managing the healthcare needs, facilitation and achievement of quality and cost outcomes of all patients. The case manager, utilizing a multidisciplinary team approach, negotiates, procures, coordinates and monitors services and resources needed by patients. The case manager is responsible for reviewing the patient at admission, and in some instances prior to admission, and concurrently throughout the hospital stay for the appropriate level of care and utilization of resources. The case manager will perform transition care planning activities to secure appropriate post hospital care arrangements and will monitor the patient during the course of their hospitalization.

Additional Requirements:

• Organizational skills. Proven ability to analyze and present data. Computer literacy. Ability to plan, implements, and evaluate change.
• Data management skills preferred
• Proven excellent interpersonal and communication skills
• Ability to maintain confidentiality
• Proven collaboration & negotiation skills with providers, patients, families, insurance organizations and government agencies
• Proven ability to work independently
• Proven excellent organizational skills
• Demonstrated ability to establish and maintain relationships with physicians
• Knowledge of local community resources required
• Knowledge of Medicare, Medicaid, third party commercial payers and reimbursement required
• Computer experience required with proven ability to manage multiple open applications
• Skills in data comprehension, research, analysis, interpretation, and judgement necessary to prepare a comprehensive summary report for files, management, legal and/or regulatory agencies upon request

Compliance Credentials Needed for Submission:

• RN MA License
• AHA BLS
• 3+ years clinical experience in acute care in areas such as internal medicine, surgery, orthopedics, mother/child, cardiology, and oncology.
• 3+ years clinical experience in Rehab Setting, Home Health and Long-Term Care would be considered.
• Ability to perform a comprehensive admission and discharge risk assessment related to quality, financial, payer benefit allowances and limitations, risk management and patient satisfaction.
• Knowledge of regulatory and accreditation organizations such as Joint Commission, DPH and HealthGrades preferred
• CASEMGMT - CCM (Certified Case Manager), or ACM (Accredited Case Manager) or RN-BC (Registered Nurse, Board Certification in Case Management)
• Experience specializing in utilization management (levels of care knowledge and demonstrable competence with evidence-based criteria tools), discharge planning to entities throughout a continuum of care, previous care management or third-party insurance review required
• Current knowledge of CMS (levels of care determinations), appeal rights & DPH regulations required
• Current knowledge of Ma Pro QIO (appeals) required
• FACILITY WILL NOT PEND MA RN LICENSE. MUST BE IN HAND AT UPLOAD. NON-NEGOTIABLE
• NO MORE THAN 5 DAYS OF RTO WILL BE ACCEPTED (less is better) DURING THE COURSE OF THIS ASSIGNMENT. Thanks!
• COVID Vaccination Card and Current Flu Shot Status
• Skills Checklist from within the past year
• Interview Availability (best time and days)
• Resume
• Two Supervisory References from the past two years of employment

Hours Per Week: 40

Shift: 8hr days Monday-Friday

Weekend Requirements: None

Holiday Requirements: TBD

On-Call Requirement: None

Fidé is a Woman-Owned Business that focuses on providing top-notch candidates to healthcare facilities in rapid time. We are passionate about connecting talented people with amazing jobs. Our recruiters worked hard to provide thousands of nurses to hospitals during the COVID-19 pandemic and we continue to assist hospitals around the country with their hiring needs. We do this by developing professional relationships built upon trust and commitment.

If you have any questions about this position, please call us at 615-622-1219 or email us directly at info@trustfide.com

Job Type: Contract

Pay: $2,500.00 - $2,840.00 per week

Work Location: In person

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