Case Management Nurse New

Pride Health is hiring a RN Case Manager to support our client’s medical facility based in Cambridge, MA. This contract opportunity is a great way to start working with a top-tier healthcare organization!

Responsibilities:

• Performs utilization review and discharge planning to inpatient admissions to MAH.
• Applies InterQual Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient and outpatient care.
• Communicates with attending and house staff when options to inpatient care are identified.
• Utilizes clinical expertise to determine the appropriate level of care for patients. Leads the healthcare team in selecting appropriate, safe, hospital or alternative care options.
• Works with MAH nursing and social work staff to coordinate and facilitate patient discharge.
• Identifies days not meeting acute hospital level of care criteria and reports them to the physician reviewer.
• Works with patients and families to facilitate post hospital care and develop plans to meet short and long-term needs.
• Accurately manages observation status patients by working with physicians to ensure appropriate utilization.
• Is part of the department's Saturday, holiday and beeper rotation as needed.
• Adheres to all insurance, contractual, and regulatory requirements as mandated.

Requirements:

• Three years of medical/surgical nursing care experience.
• Two years of case management or utilization management experience required.
• Must have BLS & MA state license

Additional Information:

Location: Cambridge, MA

Job Type: Contract

Schedule: 5x8 Days

Gross Weekly: $3,004/week

*Offered pay rate will be based on education, experience, and healthcare credentials.

Pride Health provides a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, company-paid life and long-term disability insurance, and optional supplemental life insurance for employees, spouses, and children. Additional perks include short-term disability, accident and critical illness coverage, identity theft protection, a 403b retirement plan, and tuition reimbursement of up to $4,000 annually for full-time employees.

Interested? Apply now!

About Pride Health

Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.

As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.

Equal Employment Opportunity Statement

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.