RN, Acute Care Case Manager - Full Time

Southern New Hampshire Health Nashua, NH 03060, US

Come work at the best place to give and receive care!

Job Description:

Who We Are

Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center, a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence, we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.

About the Job

The RN Acute Care Case Manager evaluates patients’ health status, support systems, and care needs to facilitate safe and effective discharge planning. This role develops multidisciplinary, culturally appropriate, and age-specific discharge plans while managing utilization review processes, determining appropriate levels of care, and coordinating care transitions. The RN Acute Care Case Manager works collaboratively with physicians, clinical staff, patients, families, and community resources to optimize patient outcomes and ensure compliance with regulatory and insurance requirements.

What You’ll Do

Evaluate patient health status, caregiver capabilities, and support systems to facilitate discharge planning.
Develop and coordinate multidisciplinary discharge plans that support safe transitions of care.
Perform utilization review activities and determine appropriate levels of care using InterQual criteria.
Conduct concurrent clinical reviews and communicate with insurance providers to support authorization and prevent denials.
Review medical records to assess medical necessity and utilization of services throughout the patient stay.
Coordinate patient-centered discharge planning meetings with the care team.
Participate in interdisciplinary care planning and patient-care team huddles.
Ensure patients and families receive appropriate post-discharge resources and have choice in agency or facility selection.
Collaborate with physicians, nurses, therapists, social workers, and community agencies to improve care coordination.
Mobilize resources to achieve clinical outcomes within desired timeframes.
Serve as a resource regarding utilization review processes and support appeals as needed.
Ensure compliance with discharge planning regulations and standards.
Issue Important Messages from Medicare within required timeframes.
Participate in quality improvement and performance improvement initiatives.
Maintain confidentiality and protect patient privacy.
Perform other duties as assigned.

Who You Are / Requirements

Bachelor’s degree in Nursing
Current Registered Nurse (RN) licensure in the State of New Hampshire required.
Case Manager Certification preferred.

Minimum of 3-5 years of case management-related healthcare experience required.
Seven (7) years of case management-related healthcare experience may be substituted for the bachelor’s degree requirement.
Experience with InterQual, MCG, Milliman, or other healthcare acute care criteria preferred.
Acute care utilization review and/or discharge planning experience preferred.
Knowledge of care coordination principles and practices.

Excellent written and verbal communication skills.
Proficiency with Microsoft Office applications.
Strong analytical thinking and critical decision-making abilities.
Ability to manage competing priorities in a fast-paced healthcare environment.
Ability to collaborate effectively across interdisciplinary teams.
Ability to achieve competency in:
- Abuse reporting
- Guardianship
- Discharge planning and case coordination
- Community resource referrals
- Utilization review

Why You’ll Love Us

Southern NH Medical Center is a 5-time Magnet designated hospital
Health, dental, prescription, and vision coverage for full-time & part-time employees
Medical, dental, and vision coverage
Life insurance
Short- and long-term disability
Flexible Spending Accounts (FSA)
Competitive pay
Tuition Reimbursement
Nursing Student Loan Paydown Program
403(b) Retirement Savings Plan
Education & Paid training courses for continued career progression
& So much more!

Work Shift:

Fu7ll time, 32 hours, First Shift

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Share this job

Related Jobs

Pediatric Registered Nurse (RN) - Full-Time (Woburn, MA)

PM Pediatric Care Woburn, MA

$37 - $50 / hour

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Registered Nurse is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The Registered Nurse role is an opportunity for a pediatric nurse to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description Candidates must be open and flexible to commuting to our sister office in Saugus as business needs require and at leadership's request. Pediatric and/or critical care experience is required, preferably in an emergency department setting, with availability to work every third weekend (Saturday and Sunday) as part of the schedule rotation Job Responsibilities: Provide clinical and administrative support for providers, patients, and office operations Obtain medical history, patient vital signs, intake, and prioritize patient care Perform procedures (venipuncture, IV insertion, urinary straight cath), administer medications (oral, rectal, IM, and IV), and assist the physician with total patient care within the scope of practice Remaining knowledgeable in pediatric pharmacology Be an integral part of the patient care team and assist with patient care within the scope of practice Perform monthly quality control checks in the office Assist in performing quality control testing in the lab Ability to assist the physician with patient care, positioning, and comfort during the x-ray process Keep exam rooms stocked with adequate medical supplies, maintain instruments, and prepare sterilization tools and equipment as required Practice standard safety practices and precautions Helps patients in distress by responding to emergencies and promptly notifies physician Establish effective rapport with clients, families, other employees, and physicians Maintains operations by following policies and procedures; reporting needed changes to management team Contributes to team effort by accomplishing related results as needed Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures, complying with legal regulations Maintains patient confidence and protects operations by keeping patient care information confidential in compliance with HIPAA regulations Updates knowledge by participating in continuing education requirements and opportunities; reading professional publications; maintaining personal networks; participating in professional organizations Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assisting patients with complaints and taking an active role in service recovery when needed Assist physician with a focus on efficiency metrics to improve urgent care flow and throughput (Arrival to Room, Arrival to Medication Administration, Disposition to Discharge, Discharge Length of Stay) Qualifications Pediatric experience is required; Pediatric ER, Pediatric hospital unit, or Pediatrics Urgent Care Experience preferred Active state nursing license or active compact state licensure from the state you reside Prior experience and competency with nursing procedures (not limited to IV placement, urinary straight catheterization, and medication administration) Current Basic Life Support (BLS) is required, Pediatric Advanced Life Support (PALS) recommended Knowledge of medical practice and terminology, clinic’s processes, and procedures Knowledge of medical equipment and instruments Skill in rapid assessment of the critical presentation of the pediatric population Ability to use sound reasoning and judgment and act calmly in emergencies Ability to effectively communicate both verbally and nonverbally Possess the following qualifications: Energetic, Highly Motivated, Customer Service Focus, Positive Attitude, Confidentiality, Teamwork, and Professionalism Compensation: $37 - $50/hour The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Director of Nursing

Full-time

7 months ago

Director of Nursing (DON)

Marquis Health Consulting Services Woburn, MA

$120,000 - $180,000 / year

Marquis Health Consulting Services is providing services in over one hundred skilled nursing and ALFs throughout the US. We are growing in MA! Looking to hire an experienced DON for the new facilities we will be servicing in MA. Join a company that admires, cares, appreciates, and values its employees! We offer many exciting benefits: Salary $130,000-$180,000 based on experience Health, Vision, and Dental Benefits 401k Matching Employee Engagement/Culture Committee Company Sponsored Life Insurance To join this team, please have the following requirements: COVID Vaccination Required Must possess valid unencumbered, RN State License. A nursing degree from an accredited college or university is preferred. Minimum three (3) years of clinical nursing experience within a hospital, nursing care center, or another related healthcare setting. Must have experience in supervision and principles, the practice of teaching, etc. Experience in rehabilitative and restorative nursing practices is strongly preferred. Strong communication skills with the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Responsibilities : Develop and implement the written staffing plan that reflects the needs of the department. Performs rounds to monitor and evaluate the quality of nursing care Develop and maintain positive relationships with residents, family members, staff, and the medical team Work in partnership with the Administrator to ensure quality, person-centered care Develop, manage, and evaluate department policies and procedures by current rules and regulations Range: $120k-200k / per year INDMHC #LI-JG1

Per Diem

1 month ago

Registered Nurse (RN)

IntelyCare Brentwood, NH

$54 - $65 / hour

Make up to $65 an hour as a Registered Nurse (RN) in Brentwood, New Hampshire, and the broader region, with a truly flexible schedule plus the advantages of W2 employment. As a nurse-founded company, we prioritize work-life balance because we know that you take care of patients best when you feel rested and can prioritize your personal needs. On our team, you can sign up for shifts at any of our partnering facilities at your own pace, and take time off whenever you like — all while knowing you have a W2 employer in your corner. Work the shifts that suit you instead of struggling to meet a demanding schedule. Not a morning person? Sign up for evening shifts instead. Knock out some night shifts one weekend and save your weekdays for quiet hikes at Split Rock Conservation area. Maybe you have family in town, and want to bring them to the Brentwood Museum for a tour of some local history. On our team it's easy to free up time when you need it. If this is the kind of freedom you’ve been looking for, take a look at the other benefits we offer and consider applying today. Benefits Registered Nurse (RN) hourly pay range: $54-$65 (25% higher than average) Payment on a weekly or daily basis Employees and qualified family members eligible for health/vision/dental benefits Wide selection of facilities and shift types (per diem, night shift, etc.) Eligibility for 401k retirement benefits Workers' comp, malpractice insurance, and taxes covered by employer Hazard pay and bonus pay for travel, overtime, and holidays Easy-to-use mobile app to access all of your job functions Free IntelyCare water bottles, scrubs, and other company merch Access to free, app-based continuing education courses and training At IntelyCare, we've built our company around our nursing professionals, not the other way around. That makes all the difference for our nursing professionals (called "IntelyPros"). Here's what some of them have to say about their experience with us: "IntelyCare allows me to have the work-life balance I needed. Working for this company is a privilege – my life has been better ever since!" "I really enjoy working with IntelyCare! The app is very easy to use, the staff is always available and helpful, and the pay is great! I have completed shifts through IntelyCare in three different states and I can’t complain. This company is very organized!" "IntelyCare gives you the opportunity to work on your own terms. It offers you the flexibility to work when you want and gives you all the tools necessary to achieve financial freedom. They display the amount of money you’ll make prior to accepting a shift and allows you to work overtime, which is great." "I love IntelyCare because of the flexibility. Being a single mother of a disabled child while pregnant with another child is hard enough. Not having a set schedule allows me to work around mine and my child’s doctor appointments while still earning a living." Job Responsibilities Providing quality care as an RN in post-acute care facilities Creating care plans by collaborating with medical staff and residents Delivering the best treatments and administration of medications to each resident Reviewing care options and outcomes with physicians and other staff Educating residents and family members about best options for care Setting up, monitoring medical equipment as needed Making sure staff is compliant with nursing standards and facility policies Drawing fluids, such as blood and urine, for lab analysis Training and supervising nurses and support staff Ensuring the accurate documentation of medical interventions and histories Helping staff with incident investigations Qualifications and Skills Current New Hampshire state license to practice as a Registered Nurse (RN) Completion of an approved nursing program Experience in either post-acute care or in-patient hospital settings (at least 4 months) Excellent organizational skills Ready for a Job That Puts Your Needs First? As you search for Registered Nurse (RN) jobs in your area, you don't have to settle for the work-life imbalance that you may be used to. If you're ready for something better, we're ready for you. Take the next step today by applying to the team ranked #1 in quality. COVID-19 Considerations: Clinicians must be vaccinated against Covid-19. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Brentwood, New Hampshire 03833

Pediatric Registered Nurse (RN) - Part-Time (Woburn, MA)

PM Pediatric Care Woburn, MA

$37 - $50 / hour

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Registered Nurse is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The Registered Nurse role is an opportunity for a pediatric nurse to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description Part-Timer must have flexibility to work 2-3 shifts a week and work every third weekend (Saturday and Sunday) per schedule block. Job Responsibilities: Provide clinical and administrative support for providers, patients, and office operations Obtain medical history, patient vital signs, intake, and prioritize patient care Perform procedures (venipuncture, IV insertion, urinary straight cath), administer medications (oral, rectal, IM, and IV), and assist the physician with total patient care within the scope of practice Remaining knowledgeable in pediatric pharmacology Be an integral part of the patient care team and assist with patient care within the scope of practice Perform monthly quality control checks in the office Assist in performing quality control testing in the lab Ability to assist the physician with patient care, positioning, and comfort during the x-ray process Keep exam rooms stocked with adequate medical supplies, maintain instruments, and prepare sterilization tools and equipment as required Practice standard safety practices and precautions Helps patients in distress by responding to emergencies and promptly notifies physician Establish effective rapport with clients, families, other employees, and physicians Maintains operations by following policies and procedures; reporting needed changes to management team Contributes to team effort by accomplishing related results as needed Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures, complying with legal regulations Maintains patient confidence and protects operations by keeping patient care information confidential in compliance with HIPAA regulations Updates knowledge by participating in continuing education requirements and opportunities; reading professional publications; maintaining personal networks; participating in professional organizations Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assisting patients with complaints and taking an active role in service recovery when needed Assist physician with a focus on efficiency metrics to improve urgent care flow and throughput (Arrival to Room, Arrival to Medication Administration, Disposition to Discharge, Discharge Length of Stay) Qualifications Pediatric experience is required; Pediatric ER, Pediatric hospital unit, or Pediatrics Urgent Care Experience preferred Active state nursing license or active compact state licensure from the state you reside Prior experience and competency with nursing procedures (not limited to IV placement, urinary straight catheterization, and medication administration) Current Basic Life Support (BLS) is required, Pediatric Advanced Life Support (PALS) recommended Knowledge of medical practice and terminology, clinic’s processes, and procedures Knowledge of medical equipment and instruments Skill in rapid assessment of the critical presentation of the pediatric population Ability to use sound reasoning and judgment and act calmly in emergencies Ability to effectively communicate both verbally and nonverbally Possess the following qualifications: Energetic, Highly Motivated, Customer Service Focus, Positive Attitude, Confidentiality, Teamwork, and Professionalism Compensation: $37 - $50/hour The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Pediatric Urgent Care Registered Nurse (RN) - Weekends Only Part-Time (Woburn, MA)

PM Pediatric Care Woburn, MA

$37 - $50 / hour

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Registered Nurse is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The Registered Nurse role is an opportunity for a pediatric nurse to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description This position requires the commitment of working every weekend (Saturday and Sunday). Candidates must be open and flexible to commuting to our sister office in Saugus as business needs require and at leadership's request. Pediatric and/or critical care experience is required, preferably in an emergency department setting, with availability to work every third weekend (Saturday and Sunday) as part of the schedule rotation Job Responsibilities: Provide clinical and administrative support for providers, patients, and office operations Obtain medical history, patient vital signs, intake, and prioritize patient care Perform procedures (venipuncture, IV insertion, urinary straight cath), administer medications (oral, rectal, IM, and IV), and assist the physician with total patient care within the scope of practice Remaining knowledgeable in pediatric pharmacology Be an integral part of the patient care team and assist with patient care within the scope of practice Perform monthly quality control checks in the office Assist in performing quality control testing in the lab Ability to assist the physician with patient care, positioning, and comfort during the x-ray process Keep exam rooms stocked with adequate medical supplies, maintain instruments, and prepare sterilization tools and equipment as required Practice standard safety practices and precautions Helps patients in distress by responding to emergencies and promptly notifies physician Establish effective rapport with clients, families, other employees, and physicians Maintains operations by following policies and procedures; reporting needed changes to management team Contributes to team effort by accomplishing related results as needed Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures, complying with legal regulations Maintains patient confidence and protects operations by keeping patient care information confidential in compliance with HIPAA regulations Updates knowledge by participating in continuing education requirements and opportunities; reading professional publications; maintaining personal networks; participating in professional organizations Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assisting patients with complaints and taking an active role in service recovery when needed Assist physician with a focus on efficiency metrics to improve urgent care flow and throughput (Arrival to Room, Arrival to Medication Administration, Disposition to Discharge, Discharge Length of Stay) #LI-MO1 Qualifications Pediatric experience is required; Pediatric ER, Pediatric hospital unit, or Pediatrics Urgent Care Experience preferred Active state nursing license or active compact state licensure from the state you reside Prior experience and competency with nursing procedures (not limited to IV placement, urinary straight catheterization, and medication administration) Current Basic Life Support (BLS) is required, Pediatric Advanced Life Support (PALS) recommended Knowledge of medical practice and terminology, clinic’s processes, and procedures Knowledge of medical equipment and instruments Skill in rapid assessment of the critical presentation of the pediatric population Ability to use sound reasoning and judgment and act calmly in emergencies Ability to effectively communicate both verbally and nonverbally Possess the following qualifications: Energetic, Highly Motivated, Customer Service Focus, Positive Attitude, Confidentiality, Teamwork, and Professionalism Compensation: $37 - $50/hour The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.