Case Manager-Springfield, MA

Date Posted: 07/20/2021

Equity Staffing is searching for a Case Manager (RN) in SPringfield, MA. This position is with a Fortune 10 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you!

We are looking for a nurse with a car to visit the members in their homes in Springfield area/Hampden and Hampshire counties. They need to live in close proximity to Springfield.
They also need to have an office space in their home to complete documentation, make phone calls and attend online meetings.

Position Description:
Assess, plan, implement, coordinate, monitor, and evaluate case management activities across the continuum of care, within the scope of the case manager's license, including: Coordination and service delivery, Physical and psychological factors, Benefit systems and cost benefit, Case management concepts and Community resources. Understand and maintain confidentiality of legal and ethical issues at all times.
Check eligibility as per procedure/ client specifications; if there is an eligibility problem, the case manager notifies the caller and consults the case management supervisor.
Assess initial clinical information and develop a treatment plan and goals that meet the individual patient's/client's present needs.
Communicate goals and objectives to all pertinent parties.
Evaluate and certify all cases for potential complications, and cases that would benefit from alternative care.
Assess clinical information at established intervals to evaluate the effectiveness of the case management plan for each patient.
Evaluate and communicate the case objectives and goals to the individual patient's case management team.
Consult physician advisers to determine the medical necessity and appropriateness of treatment plan goals and objectives.
Evaluate all referral sources and their qualifications to assure quality outcomes.
Determine the cost effectiveness and medical necessity of alternate treatment.
Negotiate with providers when necessary to reduce patient cost.
Work closely with the family members of patients to involve them in patient care.
Assess the psychological characteristics of wellness and illness. Note possible experimental/investigational procedures and notify payer per contract specifications.
Attend weekly and monthly case management meetings to participate in problem-solving and goal-development techniques.
Maintain an open line of communication with all parties of the individual case management treatment team to include patient, family, payer, and service providers across the continuum of care.
Remain aware of and follow all departmental policies and procedures.
Answer calls as needed for individual assigned units.
Assume other duties as assigned and directed by the case management supervisor. Report directly to the case management supervisor.
Report any quality issues identified to the case management supervisor.

Active R.N. nurse licensure in the state of operation; minimum of 3 years clinical practice experience in state of operation.
A Bachelors (or higher) degree in a health-related field preferred.
Case management certification preferred.
Previous case management experience preferred.
Ability to apply the six (6) essential activities of case management within the five (5) core components

Equity Staffing Native American owned staffing companies in the United States. We are a certified Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC) and the Rocky Mountain Minority Supplier Development Council (RMMSDC).

Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

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"I was so impressed with the outstanding service that Equity Staffing provided in placing me in my current position.  I wasn’t sure I would be a good candidate for this position, but my recruiter and Equity’s Account Manager took the time to go over the job description and how my experience and skill set would fit in perfectly with this job assignment.  I am glad I took their advice, because I am now on contract with a great company working with a professional staff and learning how to support a management team in an industry I have never worked in before.” 

Lisa M.

Denver, CO

“I’ve been an IT contractor for 9 years, and in that time I’ve been exposed to numerous IT staffing firms and consulting agencies, big and small.  Equity impressed me immediately.  My recruiters quickly and efficiently connected me with a great tech company whose needs in both personality and tech proficiency matched my wheelhouse in addition to a healthy dose of career progressing tech challenges.  And a 12 minute drive from my house no less.  That’s huge for me.  They were willing to meet face to face before the client company interview which, in my experience, is critical to the staffing firm / contractor relationship.  Equity is organized, modern, and professional, and my recruiters were very pleasant to work with, responsive, and generous with their time.  I’m grateful for all they’ve done for me.”

Christopher S.

Minneapolis, MN

“Working as a consultant for Equity Staffing Group has been a wonderful experience.  My recruiter was a true professional throughout the entire process.  Equity separates itself from other staffing companies I have worked with in past because they provided wonderful customer service, they had benefits offerings,  the onboarding was easy and efficient but best of all they followed up with me prior to my assignment ending and found my next assignment shortly afterward.  I highly recommend the professionals at Equity Staffing Group!”

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Atlanta, GA