At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Acts as a resource to all levels of staff and management in evaluating patient care and nursing practice standards. Provides clinical and administrative supervision to the case managers assigned on unit including ongoing performance evaluations of staff. Is involved in program planning, feedback on both policymaking, and decision-making for the unit and/or department. Communicates information to unit staff as well as to the manager.

Responsibilities:

Assists with supporting the department manager and director through the evaluation of department operations, including information technologies, service level determination, and complaint management, to achieve performance and quality control objectives. Analyzes and submits statistical reports monthly and as requested.Collaborates with interdisciplinary staff to design and implement appropriate treatment plans, including discharge planning, to ensure quality outcomes. Develops, leads or co-leads groups as needed. Supports and maintains existing standards of the department and of the profession.Participates in the orientation, training, evaluation, clinical performance improvement, disciplinary actions, and continuing education initiatives of the case management staff. Manages and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff. Performs problem resolution activities to maintain quality patient care.Identifies practice and system issues, and trends utilizing medical criteria, protocols, and clinical data systems utilized by the organization. Assists with the development and implementation of Case Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.

Competencies:

ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE REGULATORY ENVIRONMENT, LEADING BY COACHING, LEADING CHANGE INITIATIVES, MANAGING PEOPLE, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements:

Accredited Program: Nursing (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Plays a pivotal role in overseeing the daily operations of the case management team ensuring that all activities align with organizational objectives and meet regulatory standards. Requires critical thinking skills, effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Have knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Requires a comprehensive understanding of medical necessity criteria, payer guidelines, and regulatory compliance standards. This role involves high level analytical and decision making skills to evaluate clinical data against medical necessity criteria while balancing financial and operational objectives. Responsibilities include real time problem solving and prioritizing urgent cases, coordinating with physician advisors on challenging cases, or escalating to leadership as needed. Required Work Experience: Three (3) years of experience in an acute care setting as an RN in case management. Leadership experience preferred. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor’s degree in Nursing (BSN).Additional Certification Info: Certification in Case Management preferred.

Working Conditions and Physical Requirements:

• Bending and Stooping = 0%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 40%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 60%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 60%
• Hazardous Chemicals = 60%
• Hazardous Medication = 40%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 60%
• Extreme Heat/Cold = 40%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 60%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 60%

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [email protected]

Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Exemption Status:

Hiring Range:

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

Union:

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.

I. Major Responsibilities:

1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population.

2. Performs patient assessment/reassessment according to standard procedure.

3. Develops and coordinates individual plan of care including discharge planning.

4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting.

5. Delegates appropriately to others in accordance with job description and competency level.

II. Position Qualifications:

License/Certification/Education:

Required:

1. Current Massachusetts Nursing licensure and registration.

2. BLS through either American Heart Association (AHA) or American Red Cross (ARC) is a requirement for every RN within 30 days of hire.

3. ACLS through American Heart Association (AHA) required in select areas (Gannett, MP1, ICU, ED, Cath Lab, Endo, IR, PACU, Float Pool) within 6 months or first scheduled course offering whichever is sooner.

4. PALS through American Heart Association (AHA) required in select areas (PACU, ED) within 6 months or first scheduled course offering whichever is sooner.

5. NRP Advanced Provider through American Academy of Pediatrics (AAP) required in select areas (Maternity) within 6 months or first scheduled course offering whichever is sooner.

Preferred:

1. Bachelor of Science degree in Nursing highly preferred.

Experience/Skills:

Required:

1. Thorough knowledge of the discipline of Nursing.

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 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.

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.

We’re 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.

Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Exemption Status:

Hiring Range:

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

Union:

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.

I. Major Responsibilities:

1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population.

2. Performs patient assessment/reassessment according to standard procedure.

3. Develops and coordinates individual plan of care including discharge planning.

4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting.

5. Delegates appropriately to others in accordance with job description and competency level.

II. Position Qualifications:

License/Certification/Education:

Required:

1. Current Massachusetts Nursing licensure and registration.

2. BLS through either American Heart Association (AHA) or American Red Cross (ARC) is a requirement for every RN within 30 days of hire.

3. ACLS through American Heart Association (AHA) required in select areas (Gannett, MP1, ICU, ED, Cath Lab, Endo, IR, PACU, Float Pool) within 6 months or first scheduled course offering whichever is sooner.

4. PALS through American Heart Association (AHA) required in select areas (PACU, ED) within 6 months or first scheduled course offering whichever is sooner.

5. NRP Advanced Provider through American Academy of Pediatrics (AAP) required in select areas (Maternity) within 6 months or first scheduled course offering whichever is sooner.

Preferred:

1. Bachelor of Science degree in Nursing highly preferred.

Experience/Skills:

Required:

1. Thorough knowledge of the discipline of Nursing.

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 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.

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.

We’re 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.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Hiring Range:

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

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.

I. Major Responsibilities:

1. Facilitates the entry of patients into the diagnostic and/or treatment system and coordinates their care including family involvement. Follows the patients throughout the continuum of health care services across multiple departments.

2. Assists patients in understanding their diagnosis, treatment options, recommended follow up and resources available.

3. Utilizes nursing process to comprehensively assess the patients’ physical and psychological sta-tus.

4. Evaluates progress of patients along the continuum and is responsible for professional and per-sonal modifications along with the healthcare team as appropriate. May assist with tracking of post care patients to ensure post treatment standards of care are met along with referrals. As necessary, ensures that patients receive clinical satisfaction surveys.

5. Coordinates and participates in multidisciplinary planning conferences, collaboratively assists with the development of patient summaries for use by care team.

6. Provides patient and family education across the continuum of care and facilitates symptom management.

7. Provides access to community resources and links to support services such as: social services, nutrition services, psychologist, pastoral care, physical therapy, rehabilitation therapy, financial counseling, pharmacy, and related organizations. May coordinate and participate in patient support groups with Social Workers.

8. Assists with tracking metrics and quality indicators for diagnosing and treating promptly and ef-fectively. May assist with production of relevant quality improvement reports.

9. Develop, implement, support and/or attend related programs/workshops/seminars/support services, etc.

10. Utilization and optimization of data systems to identify and triage patients and track data out-comes.

11. May assist with calls to Clinic and perform telephone triage within the scope of practice as a li-censed registered nurse.

12. May work across multiple campuses and settings.

II. Position Qualifications:

License/Certification/Education:

Required:

1. Bachelor’s degree in Nursing.

2. Current Massachusetts Registered Nurse licensure and registration.

Preferred:

1. Masters Degree in Nursing.

Experience/Skills:

Required:

1. Minimum of 5 years nursing experience.

2. Excellent teaching, consultation, and customer service skills.

3. Excellent critical thinking skills.

4. Demonstrates leadership experience.

5. Excellent verbal and written communications skills.

6. Computer literate with knowledge of Microsoft Office products.

Preferred:

1. Skilled with utilization of EMR and other software.

2. Experience with Project Management.

The UMass outpatient OCI High-Risk Nurse Care Manager (RN) role focuses on the following:

The High-Risk Care Manager is a PCP-embedded role that provides longitudinal care management for medically complex adult patients in the ambulatory setting. Using strong clinical judgment and critical thinking, the Care Manager develops, implements, and monitors comprehensive care plans that support chronic disease management, care transitions, and patient self-management.

The Care Manager partners closely with PCPs, specialists, care teams, patients, and caregivers to coordinate care across the continuum, including hospitals, SNFs, home care, and community resources. Responsibilities include outreach, patient engagement, post-discharge follow-up, health coaching, goal setting, and ensuring timely communication of care plans.

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.

We’re 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.

Employment Type:

Shift:

Description:

If you want to join an organization that truly cares about its employees, consider continuing your career with Loyola!

We offer:

Medical/Dental/Vision Benefits on your FIRST DAY!!!

competitive wages

great work atmosphere

403(b)
Life Insurance
Employee Assistance Program
Employee Discounts
Flexible Spending Account
Paid Time Off
Tuition Reimbursement

Essential Job Duties:

Loyola Medicine, treating the whole person with compassion—to "also treat the human spirit."  We are seeking a Dynamic Scheduler to schedule patient appointments in conjunction with orders, urgency of care and patient convenience, involving multiple sites when appropriate.

SCHEDULING -  Monitors physicians' schedules daily for optimal physician schedule

INSURANCE VERIFICATION -  Utilizes insurance verification procedures to ensure maximum reimbursement and correct payment.

COMPUTER APPLICATIONS -  Proficient in clinical, registration and scheduling software systems. d.) Learns new systems as required.

TELEPHONE UTILIZATION -  Efficiently and effectively manage a high volume of telephone calls to the service area. a.) Answers calls using telephone customer service skills and maintains 95% for customer telephone skills

Shift Days Monday- Friday

Position Requirements:

Required:

• Associates Degree OR equivalent training acquired via work experience or education
• Minimum of 3 years of previous job-related experience

Preferred:

• Bachelor's Degree OR equivalent training acquired via work experience or education
• Minimum of 3 years experience as a Service Rep, highly preferred
• Minimum of 3 years training in general administrative, business, healthcare, or related field

Applicants for this position must be authorized to work for any employer in the U.S. We are unable to sponsor an employment visa for this position.

COMPENSATION

Pay Range: $21.12 - $25.53 per hour 

Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles. 

Benefits:   

Click or copy URL to your browser www.trinity-health.org/sites/default/files/my-benefits/Health-and-Wellbeing/Compliance/Illinois-Transparency-Law/Trinity-Health-Summary-of-Benefits-Illinois-Job-Req-Discloser-Law.pdf 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Mission