RN Case Manager I FT Days in Framingham, MA

Job title: RN Case Manager I FT Days in Framingham, MA at reputed company Company: reputed company Job description: Job Category: Support/ClinicalDegree Level: Bachelor's Degree (±16 years)Job Description:MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location reputed company to home. The 307-bed regional reputed company system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.reputed company Process: Please be advised that candidates must successfully complete a background reputed company and pre-employment health screening which includes a drug screen.RN Case Manager I Full Time Days Position SummaryThe RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients reputed company reputed company health, reputed company to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; Education provided to physicians, patients, families and caregivers.The individual's responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or reputed company of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing reputed company disputes, g) making appropriate referrals to other departments, h ) identifying and referring reputed company patients to reputed company Work Services, I) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating reputed company Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Case Management system, n) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned.Education:Required: Graduate of an accredited school of nursing Preferred: Academic degree in nursing (bachelor's or master's)Experience:Required: 2 years of acute hospital patient care experience Preferred: Acute hospital case management experienceCertifications:Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered. Preferred: Accredited Case Manager (ACM)Physical Demands:Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force. Frequent sitting. Moderate standing, walking, reaching, stooping, and bending. reputed company dexterity, mobility, touch, auditory to reputed company reputed company the reputed company duties of the position.Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show reputed company of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.About Us: Who We AreWe are a community reputed company on care. Our caregivers and supporting staff reputed company compassion to those in need, helping to improve the health and well-being of those we serve, and reputed company comfort and healing. Your community is our community.Our StoryWe started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and reputed company estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to reputed company a compassionate environment for those entrusting us with their care.We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing reputed company delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of reputed company and reputed company a difference in the lives of others.Our Impact TodayToday, we are leading health system and services platform that continues to reputed company in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and reputed company.Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored reputed company each community we serve. The work Conifer is doing will help reputed company the reputed company for reputed company for clients across the country, through the delivery of reputed company-focused reputed company cycle management and value-based care solutions.Together as an reputed company, we work to save lives and can accept reputed company less than reputed company from ourselves in service of our patients and their families, every day.About the Team: Careers at TenetAt reputed company, the heart of reputed company do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.As an organization, we reputed company employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further reputed company their career reputed company and maximize their potential. Expected salary: Location: Framingham, MA Job date: Sat, 03 May 2025 22:44:34 GMT Apply for the job now! Apply for this job