WorcesterRecruiter Since 2001
the smart solution for Worcester jobs

Care Coordinator, Nurse Case Manager - Care Coordination

Company: UMASS Memorial Medical Center
Location: Worcester
Posted on: July 14, 2019

Job Description:



At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.Requisition #: 192567

Title: Coordinator Care

Department: Care Coordination Dept

Grade: MNA1

Status: Non-Exempt

Shift: Evenings

Union: MNA

Hours: 35

Shift Length: 10 hours

Location: UMass Memorial Medical Center – University CampusPosition Summary:

Responsible for identifying individual patient needs and developing plans of care as well as engaging and integrating appropriate resources for optimal clinical and financial patient outcomes. Responsible for the efficient collection of meaningful clinical and utilization data to effectively support care coordination initiatives.

Position Qualifications:

Massachusetts licensure as a registered nurse and three (3) years clinical experience in discharge planning or case management. Utilization management and third party payer knowledge preferred. The ability to effectively use specialized computer based systems for the gathering, reporting, and analysis of clinical data. Excellent organizational and communications skills required.

Major Responsibilities:


  • Performs assessment of patient's physical, functional, and psycho–social needs through the use of screening tools, direct patient and family communication, medical record review, and discussions with other care givers providing services to the patient. Identifies complex patients in need of intensive case management based on established clinical and financial criteria.
  • Performs admission and concurrent reviews as assigned. Performs inpatient reviews in accordance with payer requirements utilizing clinical criteria sets. Meets with 3rd party case managers to discuss cases and assures timely communication of relevant clinical information to third party payers as required. Educates practitioners on the level of care and documentation requirements.
  • Collaboratively facilitates the care of patients throughout the continuum of care. Works as a team member to support /collaborate with Care Coordination Team for monitoring level of care, and for identification of trends in clinical practices and opportunities for improvement.
  • Works with patients and families to establish objectives, goals and an action plan to meet the patient's individual needs within the indicated level of care. Collaborates with the physicians, other care providers and community resources in the care planning process.
  • Contacts third party payer to clarify benefit eligibility, coverage, and available resources for patients. May negotiate conversion of benefits for previously non–covered services. Researches alternate sources of funding for non reimbursed services that are part of the patient's treatment plan.

    Standards of Respect:

    We're striving to make respect a part of everything we do at UMass Memorial – for our patients and for each other. We're expecting that our new caregivers practice our six Standards of Respect: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player, and Be Kind, to help us make respect a part of how we take care of business everyday.

Keywords: UMASS Memorial Medical Center, Worcester , Care Coordinator, Nurse Case Manager - Care Coordination, Healthcare , Worcester, Massachusetts

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


LPN, Cap Region Midwifery, full time
Description: Administers nursing care to patients under the direction
Company: Trinity Health Of New England
Location: Troy
Posted on: 07/17/2019

Physician / Wound Care / Massachusetts / Permanent / Wound Care Physic
Description: Physician Jobs With VOHRA Wound Care Post-Acute Care Group Apply Today Join the premier wound care specialty physician group, run by physicians for physicians. br Enjoy autonomy, a better work-life (more...)
Company: Vohra Physicians
Location: Pittsfield
Posted on: 07/17/2019

Dental Hygenist
Description: The Dental Hygienist provides patients with preventive, educational, and therapeutic services supporting total health for the control of oral diseases and the promotion of oral health. Duties include (more...)
Company: Harbor Health Services
Location: Plymouth
Posted on: 07/17/2019


Hematology Oncology in Massachusetts
Description: Hematology/Oncology opening in Pittsfield, Massachusetts. This and other physician jobs brought to you
Company: Vista Staffing Solutions
Location: Pittsfield
Posted on: 07/17/2019

Physician Assistant Orthopedics
Description: Orthopedics opening in Pittsfield, Massachusetts. This and other physician assistant
Company: Lyle Staffing
Location: Pittsfield
Posted on: 07/17/2019

RN Field Nurse Methuen MA
Description: AccentCare-- is a national post-acute healthcare provider with 45 years of industry experience. We thrive on providing patient-centric care and a warm and personalized experience within our local communities. (more...)
Company: AccentCare
Location: Methuen
Posted on: 07/17/2019

Travel Nurse - ICU/Critical Care
Description: Host Healthcare has a great travel nurse opportunity. A prestigious facility
Company: Host Healthcare, Inc.
Location: Plymouth
Posted on: 07/17/2019

RN Field Nurse - $5,000 bonus package - Methuen MA
Description: AccentCare is a national post-acute healthcare provider with 45 years of industry experience. We thrive on providing patient-centric care and a warm and personalized experience within our local communities. (more...)
Company: AccentCare
Location: Methuen
Posted on: 07/17/2019

Admin Office/Healthcare
Description: Seeking homeworkers for solid healthcare company. No cold calling/telemarketing
Company: Ameriplan
Location: Methuen
Posted on: 07/17/2019

Case Manager-RN Medicine Unit, Care Management (FT, Lebanon, NH)
Description: Case Manager-RN Medicine Unit, Care Management FT, Lebanon, NH Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards (more...)
Company: Dartmouth-Hitchcock Medical Center
Location: Troy
Posted on: 07/17/2019

Log In or Create An Account

Get the latest Massachusetts jobs by following @recnetMA on Twitter!

Worcester RSS job feeds