Mid Level Registered Nurse Care Coordinator Jobs
Mid level registered nurse care coordinator jobs go to nurses ready to own complex patient caseloads, guide less experienced staff, and coordinate care decisions with limited oversight. Most openings are on-site and hybrid across Healthcare & Medical Services, Education, and Technology & Software, with employers like Optum, SPECTRAFORCE, and Baystate Health hiring at this level now.
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Summary
The Hospital Sr Case Manager is a registered professional nurse who facilitates and enhances collaboration with patients, families, physicians and healthcare providers to ensure patients receive the services required to improve healthcare outcomes and quality of life. The Hospital Case Manager seeks to ensure that quality care is provided to patients and is an active participant in the process to improve operational efficiency and patient outcomes.
The Hospital Sr Case Manager participates in the implementation of a patient-centered plan of care. Coordinates input from all health care professionals conducts assessments of patient and family needs, and facilitates and documents the discharge plan, assuring continuity of care. The Hospital Case Manager utilizes appropriate case management tools to coordinate the appropriate resources for safe and quality hospital transition, in alignment with medical management initiatives and product line goals. Evaluates the appropriateness of admissions and continued stay using approved criteria. Collaborates with payers through ongoing written and verbal communication to optimize the reimbursement potential for all Baystate Health hospitals. Adheres to system and department Compliance policies, and any applicable laws and regulations. Provides quality case management coverage 7 days a week.
Requirements
1) Uses Case Management skills to ensure quality patient-centered care is achieved. Utilizes effective communication with peers, patients, and families. Performs daily review of cases and makes appropriate recommendations to the care team for practice guideline utilization, LoS, and quality of care. Recognizes the case manager's role in assessing, facilitating, collaborating, and coordinating patient services through the continuum of care. Effectively collaborates with others on the healthcare team to resolve patient care issues. Applies utilization criteria correctly and responsibly to best portray the process of care delivery for all BH hospitals. Identifies appropriateness of admission and concurrent days of stay. Provides verbal and written notices of non-coverage to patients and/or their representatives, in accordance with departmental policies and third-party regulations.
2) As applicable, communicate effectively and efficiently with insurance companies to avoid the denial/appeal process whenever possible. Understands the role of the Physician Advisor for Case Management and makes appropriate referrals for review. Provides a clear and concise review. Ensures CM leadership informed on issues of prolonged LOS, patient/family concerns, and insurance payment issues.
3) Provides post-acute hospital care planning/discharge facilitation. Proactively works with the healthcare team to identify those patients who will need some level of care following their acute hospitalization. Involves patients/families in the discharge planning process to facilitate a clear understanding by all parties. Monitors each patient’s discharge plan of care for variance makes appropriate recommendations and revises the plan as necessary. Assures that interventions are in alignment with medical management initiatives. Provides appropriate financial/regulatory information to patients and/or families including scope of reimbursement sources. Follows all state and federal guidelines in regard to patient rights in planning for their post-acute needs.
4) Demonstrates strong clinical knowledge as part of the healthcare team to ensure quality, evidence-based care is delivered. Demonstrates strong clinical knowledge of the patient population being managed. Continually seek to develop their body of clinical knowledge. Serves as a resource to members of the healthcare team.
5) Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan. Provides timely documentation of the post-acute care plan in the medical record.
6) Conducts extensive assessments and implements interventions for patients at risk for readmission.
7) Active participant in daily unit progression rounds with interdisciplinary teams to direct timely care progression along the continuum; focusing on appropriate GMLOS.
8) Assumes Responsibility for Own Professional Growth. Attends educational programs to maintain current knowledge in utilization management, discharge planning, and case management with specific emphasis on own areas of responsibility. Attends educational program to maintain knowledge of current clinical management of patient problems in assigned clinical areas. Establishes annual goals for professional growth and seeks opportunities that lead to the accomplishment of these goals.
9) Attends regularly scheduled departmental meetings as guided by the department manager and/or supervisor. Presents new topics and ideas at meetings as requested by the manager.
10) As needed, the BH RN Sr Case Manager will provide education and orientation services to new CMs, be called upon when their experience and strong clinical knowledge are needed to assist in other areas, and serve as a resource for all other staff.
11) Serve as a resource for first-level troubleshooting for challenges for their team.
12) Serves as a weekend/holiday leader resource for the CM team as needed.
13) Functions as a superuser for new programs and services and functions as train the trainer in appropriate settings.
14) The BH RN Sr Case Manager serves as a mentor to less experienced case managers, leads by example, and demonstrates Baystate's Core Competencies with the ability to critically think, problem solve and successfully coordinate the care of medically/socially complex patients with autonomy.
Required Experience
3 or more years of Case Manager experience
1 year Case Manager at Baystate Health
Preferred Experience
- Leadership experience
- Transitional Care Experience
Education
Bachelor's Degree required
Applicable experience and an Associate's of Nursing may substitute the Bachelor's Degree.
Compensation
- Minimum – Midpoint – Maximum: $108,180.00 – $124,342.00 – $147,097.00
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Summary
The Hospital Sr Case Manager is a registered professional nurse who facilitates and enhances collaboration with patients, families, physicians and healthcare providers to ensure patients receive the services required to improve healthcare outcomes and quality of life. The Hospital Case Manager seeks to ensure that quality care is provided to patients and is an active participant in the process to improve operational efficiency and patient outcomes.
The Hospital Sr Case Manager participates in the implementation of a patient-centered plan of care. Coordinates input from all health care professionals conducts assessments of patient and family needs, and facilitates and documents the discharge plan, assuring continuity of care. The Hospital Case Manager utilizes appropriate case management tools to coordinate the appropriate resources for safe and quality hospital transition, in alignment with medical management initiatives and product line goals. Evaluates the appropriateness of admissions and continued stay using approved criteria. Collaborates with payers through ongoing written and verbal communication to optimize the reimbursement potential for all Baystate Health hospitals. Adheres to system and department Compliance policies, and any applicable laws and regulations. Provides quality case management coverage 7 days a week.
Requirements
1) Uses Case Management skills to ensure quality patient-centered care is achieved. Utilizes effective communication with peers, patients, and families. Performs daily review of cases and makes appropriate recommendations to the care team for practice guideline utilization, LoS, and quality of care. Recognizes the case manager's role in assessing, facilitating, collaborating, and coordinating patient services through the continuum of care. Effectively collaborates with others on the healthcare team to resolve patient care issues. Applies utilization criteria correctly and responsibly to best portray the process of care delivery for all BH hospitals. Identifies appropriateness of admission and concurrent days of stay. Provides verbal and written notices of non-coverage to patients and/or their representatives, in accordance with departmental policies and third-party regulations.
2) As applicable, communicate effectively and efficiently with insurance companies to avoid the denial/appeal process whenever possible. Understands the role of the Physician Advisor for Case Management and makes appropriate referrals for review. Provides a clear and concise review. Ensures CM leadership informed on issues of prolonged LOS, patient/family concerns, and insurance payment issues.
3) Provides post-acute hospital care planning/discharge facilitation. Proactively works with the healthcare team to identify those patients who will need some level of care following their acute hospitalization. Involves patients/families in the discharge planning process to facilitate a clear understanding by all parties. Monitors each patient’s discharge plan of care for variance makes appropriate recommendations and revises the plan as necessary. Assures that interventions are in alignment with medical management initiatives. Provides appropriate financial/regulatory information to patients and/or families including scope of reimbursement sources. Follows all state and federal guidelines in regard to patient rights in planning for their post-acute needs.
4) Demonstrates strong clinical knowledge as part of the healthcare team to ensure quality, evidence-based care is delivered. Demonstrates strong clinical knowledge of the patient population being managed. Continually seek to develop their body of clinical knowledge. Serves as a resource to members of the healthcare team.
5) Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan. Provides timely documentation of the post-acute care plan in the medical record.
6) Conducts extensive assessments and implements interventions for patients at risk for readmission.
7) Active participant in daily unit progression rounds with interdisciplinary teams to direct timely care progression along the continuum; focusing on appropriate GMLOS.
8) Assumes Responsibility for Own Professional Growth. Attends educational programs to maintain current knowledge in utilization management, discharge planning, and case management with specific emphasis on own areas of responsibility. Attends educational program to maintain knowledge of current clinical management of patient problems in assigned clinical areas. Establishes annual goals for professional growth and seeks opportunities that lead to the accomplishment of these goals.
9) Attends regularly scheduled departmental meetings as guided by the department manager and/or supervisor. Presents new topics and ideas at meetings as requested by the manager.
10) As needed, the BH RN Sr Case Manager will provide education and orientation services to new CMs, be called upon when their experience and strong clinical knowledge are needed to assist in other areas, and serve as a resource for all other staff.
11) Serve as a resource for first-level troubleshooting for challenges for their team.
12) Serves as a weekend/holiday leader resource for the CM team as needed.
13) Functions as a superuser for new programs and services and functions as train the trainer in appropriate settings.
14) The BH RN Sr Case Manager serves as a mentor to less experienced case managers, leads by example, and demonstrates Baystate's Core Competencies with the ability to critically think, problem solve and successfully coordinate the care of medically/socially complex patients with autonomy.
Required Experience
3 or more years of Case Manager experience
1 year Case Manager at Baystate Health
Preferred Experience
- Leadership experience
- Transitional Care Experience
Education
Bachelor's Degree required
Applicable experience and an Associate's of Nursing may substitute the Bachelor's Degree.
Compensation
- Minimum – Midpoint – Maximum: $108,180.00 – $124,342.00 – $147,097.00
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
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Mid Level Registered Nurse Care Coordinator Jobs: Frequently Asked Questions
How do I get a mid level registered nurse care coordinator job?
Position your existing experience around ownership and outcomes. Highlight caseloads you managed independently, care transitions you coordinated across multidisciplinary teams, and any quality or utilization metrics you influenced. Tailor your resume to show clinical judgment in action, not just tasks completed. Certifications in case management or a relevant specialty strengthen your profile significantly at this stage.
Which companies hire mid level registered nurse care coordinators?
Companies hiring mid level registered nurse care coordinators right now include Optum, SPECTRAFORCE, and Baystate Health, based on current listings on Migrate Mate as of November 2026. Hiring at this level comes from a mix of health systems, managed care organizations, and large insurance carriers that need coordinators who can work with minimal supervision across complex patient populations.
Are there remote mid level registered nurse care coordinator jobs?
Yes, though availability varies by employer and specialty. About 20% of mid level registered nurse care coordinator openings are remote or hybrid as of November 2026, with telephonic case management and utilization review roles accounting for most fully remote positions. On-site and hybrid roles remain common in health systems and outpatient clinic settings.
How do I move up to a mid level registered nurse care coordinator role?
Moving from entry level into a mid level role requires building a record of independent caseload management, deepening your knowledge of care coordination frameworks, and demonstrating measurable impact such as reduced readmissions or improved patient adherence. Taking on project ownership, earning a case management certification, and volunteering for cross-functional initiatives all signal readiness for increased responsibility.
Which industries hire the most mid level registered nurse care coordinators?
Mid Level registered nurse care coordinator roles concentrate in Healthcare & Medical Services, Education, and Technology & Software, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they manage large, complex patient populations that require experienced coordinators to oversee transitions, reduce costs, and ensure continuity of care across providers.