Job Description

Job Description

Tenet Massachusetts is seeking a Registered Nurse (RN) Case Manager, Clinical Support Specialist for a nursing job in Framingham, Massachusetts.

Job Description & Requirements

• Specialty: Clinical Support Specialist
• Discipline: RN
• Duration: Ongoing
• 36 hours per week
• Shift: 12 hours
• Employment Type: Staff

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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 close to home. The 307-bed regional healthcare 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. 

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Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. 

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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 close to home. The 307-bed regional healthcare 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. 

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Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. 

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The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access 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.

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The individual’s responsibilities include the following activities:
\n a) accurate medical necessity screening and submission for Physician Advisor review,
\n b) care coordination,
\n c) transition planning assessment and reassessment,
\n d) implementation or oversight of implementation of the transition plan,
\n e) leading and facilitating multi-disciplinary patient care conferences,
\n f) managing concurrent disputes,
\n g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services,
\n I) communicating with patients and families about the plan of care,
\n j) collaborating with physicians, office staff and ancillary departments,
\n k) leading and facilitating Complex Case Review,
\n l) assuring patient education is completed to support post-acute needs ,
\n m) timely complete and concise documentation in Case Management system,
\n n) maintenance of accurate patient demographic and insurance information,
\n o) identification and documentation of potentially avoidable days,
\n p) identification and reporting over and underutilization,
\n q) and other duties as assigned.

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Education:

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Required: Graduate of an accredited school of nursing
\n Preferred: Academic degree in nursing (bachelor's or master's)

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Experience:

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Required: 2 years of acute hospital patient care experience
\n Preferred: Acute hospital case management experience

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Certifications:

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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.
\n Preferred: Accredited Case Manager (ACM)

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Physical Demands:

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Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force. Frequent sitting. Moderate standing, walking, reaching, stooping, and bending. Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.

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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 proof 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. 

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Tenet Mass Job ID #2503015402-1. Posted job title: RN Case Manager FT Days

About Tenet Massachusetts

Facilities:

Saint Vincent Hospital – Worcester, MA

MetroWest Medical Center – Framingham, MA

Leonard Morse Hospital – Natick, MA (part of MWMC)

MA - SVH

Tenet’s Saint Vincent Hospital has been providing high-quality health care to Worcester and the surrounding communities for more than 125 years. At Saint Vincent Hospital, we believe you should have access to the treatments you need without having to travel far from home. We are proud to have been the first hospital in central Massachusetts to offer robotically assisted surgical procedures and minimally invasive, computer-assisted joint replacements. Among the distinctions that we have received include our designations as a Blue Distinction Center for

Cardiac Services, Bariatric Surgery, and both Knee and Hip Replacement. We continue to be leaders in state-of-the-art treatments like our CyberKnife Radiosurgery, and our Cardiac Rehabilitation Program which offers a unique, specialized approach to overcoming heart health challenges. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of America’s 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention. At Saint Vincent Hospital, you can grow your career skills through a wide range of specialties, and help support the overall health of our community.

MA - MWMC

Tenet’s MetroWest Medical Center has been serving the community since we opened as the first public medical facility in Framingham in 1893. MetroWest Medical Center is comprised of Framingham Union Hospital and Leonard Morse Hospital, a unique behavioral health specialty center located in Natick dedicated to the mental health of our community. At Framingham Union Hospital, you’ll find comprehensive health care services for your entire family including 24-hour 

emergency care, advanced cardiac care, high-tech cancer treatments, and advanced maternity care including our Special Care Level IIB nursery and high risky pregnancy care. MetroWest Medical Center was recognized by the Joint Commission with a Gold Seal of Approval, a symbol of quality that reflects our commitment to meeting performance standards and providing safe and effective patient care. Our skilled cardiac team has been recognized as one of Healthgrades’ America’s 100 best hospitals for Coronary Intervention and ranked among the top 5% in the nation for coronary interventional procedures in 2023. At MetroWest Medical Center, you can grow your career skills and be a vital member of our team dedicated to improving the health of our community.

Benefits

• Medical benefits
• Dental benefits
• 401k retirement plan

Job Tags

Local area, Shift work,

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