Registered Nurse - Case Manager

Overview

Registered Nurse - Case Manager -Traveler position LOCATION Pittsfield MA JOB TYPE Temp OPENINGS 2 Rate: 60-65/hr FULLY COVID VACCINATED TRAVELERS ONLY ARE ELIGIBLE FOR THIS NEED. CDC Covid Card/Attestation of vaccination must be uploaded with profile. Description: The Case Manager is responsible for managing the healthcare needs, facilitation and achievement of quality and cost outcomes of all patients within Berkshire Medical Center, across the continuum. 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 SUBMISSION REQUIREMENTS 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 NO MORE THAN 5 DAYS OF RTO WILL BE ACCEPTED (less is better) DURING THE COURSE OF THIS ASSIGNMENT. Thanks! Traveler must be willing to work Thanksgiving (including Friday and weekend after) AND Christmas-New Year Day Block, (If Needed/Scheduled). RTO during these holidays will not be approved. Thanks! Profile Requirements: Work History Skills Checklist (pertinent to position), current to 1 year 1 Supervisory Signed Reference (from within the past two years of employment) License/Certifications - Must be uploaded with profile (Nursys, ACLS, BLS, NRP and AWHONN - Facility will not pend license/certs) CERTIFICATION REQUIREMENTS BLS (AHA) STATE LICENSE REQUIREMENTS Massachusetts ABOUT THE FACILITY BMC is a 298-bed teaching hospital and is ranked among the safest hospitals in the nation by The Leapfrog Group, which has given BMC Straight "A" grades since the inception of Leapfrog's patient safety program, one of only 42 hospitals in the nation to achieve this honor; and recipient of both the 2017 and 2018Healthgrades Patient Safety Excellence Award. Berkshire Medical Center offers a full continuum of medical specialties, including anesthesiology, dentistry, emergency medicine, family medicine, internal medicine, around the clock neurology and neurosurgery, obstetrics and gynecology, ophthalmology, orthopaedic surgery, otorhinolaryngology (ear, nose and throat), pathology, pediatrics, psychiatry, radiation oncology, radiology, rehabilitation, substance abuse, cardiac rehabilitation, a sleep lab and others. BMC has a state-of-the-art diagnostic imaging department, with MRI, high-speed CT, ultrasound, x-ray, mammography and more, providing 24-hour service. BMC has previously been honored by Healthgrades with its DistinguBMC Home.jpgished Hospital Award for Clinical Excellence and was one of Healthgrades America's Best Hospitals in 2016. BMC is a not for profit medical center fully accredited by The Joint Commission. As a medical center affiliated with Berkshire Health Systems, Berkshire Medical Center, its Hillcrest Campus and North Adams Campus serve all residents of Berkshire County, Massachusetts and communities in adjacent eastern New York, northwest Connecticut and southwest Vermont. HOURS PER DAY 8 DURATION DESCRIPTION 13 weeks SHIFT NOTES 8hr days Monday-Friday 40hour guarantee WEEKEND REQUIREMENTS None

Qualifications

• 3+ years of experience in ANY of the following:
  • Acute Care
  • Internal Medicine
  • rehab setting
  • Home Health Care
  • Long-Term Care
  • Case Management (CM)
  • CMS
  • Current knowledge of Ma Pro QIO
• ANY of the following valid licenses/certifications:
  • American Heart Association Basic Life Support (AHA BLS) in Massachusetts (MA)
  • Registered Nurse (RN) in Massachusetts (MA)
  • Certified Case Manager (CCM) in Massachusetts (MA)
  • ACM in Massachusetts (MA)
• Associate degree or higher
• Do you have recent Travel RN experience?
• Have you spoken on the phone with a Relode recruiter about this opportunity?
• Are you able to work all the dates/times listed in the job description (Holidays included)?

Company

Our client is an MSP working with a facility/clinic in Pittsfield, MA.