Chronic Disease RN Case Manager

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Exemption Status:

Non-Exempt

Schedule Details:

Monday through Friday

Scheduled Hours:

8-4:30

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

25080 - 4402 Case Management

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

The Chronic Disease Case Manager is responsible for assessing, educating, supporting, and following up with the specific patient populations with chronic diseases. The Chronic Disease Case Manager will work collaboratively with the entire multidisciplinary team, patients, families, post-acute providers, and outpatient vendors to ensure safe, timely, and efficient discharge to the next level of care while preventing readmissions.

II. Major Responsibilities:

1. Meets with patients that carry a chronic disease diagnosis to assess their level of understanding, need for education, and level of home or community support.
2. Educates patients and care givers regarding their specific chronic disease, including the need for adherence to specific diet, medications, and follow up care.
3. Makes referrals to home care agencies to support this patient population in the community.
4. Collaborates with the Cardiology staff regarding risks of readmissions and intervenes to prevent readmissions whenever possible.
5. Assists in data collection for the updating of metrics to achieve productivity targets, eliminate errors, and deliver excellent customer service.
6. Support Nursing staff by providing education to patients with chronic disease.
7. Partner with multidisciplinary, post- acute, and remote monitoring teams to improve patient outcomes.
8. Acts as support for other duties not listed as assigned.

Standard Staffing Level Responsibilities:

1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

III. Position Qualifications: The applicant should have strong case management or discharge planning background with emphasis on readmission prevention. Demonstrated ability to provide effective patient/care giver education. Proven ability to work independently.

License/Certification/Education:

Required:
1. Massachusetts RN license in good standing
2. BSN from an accredited school

Preferred: ACM or CCM

Experience/Skills:

Required:
5 years of Case Management or Discharge Planning experience
Focus on Readmission Reduction
Chronic Disease Patient Education
Critical thinking skills
Excellent written and verbal skills
Computer literate various EMRs and Microsoft Office

Preferred: Experience with Report Creation

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies, including age-specific competencies and their measurements, will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

IV. Physical Demands and Environmental Conditions

Work is considered active, requires sitting, standing, and walking. Position requires work indoors in a patient care environment and office setting. The position requires use of a computer and telephone. Position uses printed educational materials.

The Organization reserves the right to modify position duties at any time.
All responsibilities are essential job functions unless noted otherwise.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Were striving to make respect a part of everything we do at UMass Memorial Health for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.