RN Case Manager, 7E, 40 Hours (Days / 4x10 Hour Shifts / Every 6th Weekend) at Boston Medical Center Corporation

Boston, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jul, 26

Salary

75.33

Posted On

05 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case management, Utilization review, Discharge planning, Managed care, Clinical assessment, Medical terminology, Data management, Communication, Problem-solving, Negotiation, Analytical skills, ICD-9, CPT nomenclature

Industry

Medical Practices

Description

POSITION SUMMARY: Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost-effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. This care manager is dedicated to handle the increased volume and to support the overall care management process and the department. Position: RN Case Manager Department: 7E Schedule: 40 Hours (Days / 4x10 Hour Shifts / Every 6th Weekend) JOB REQUIREMENTS EDUCATION: Graduate of an accredited BSN Program in Nursing CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts CCM or related certification attained within 24 months from the hire date is preferred EXPERIENCE: BSN preferred and MA RN license required A minimum of 3-5 years recent clinical experience required. A minimum of 1-3 years recent acute inpatient Care Management experience required. Strong communication, collaboration, and problem-solving skills Knowledge of utilization review, discharge planning, managed care, and community resources KNOWLEDGE AND SKILLS: Extensive background and knowledge of current medical/surgical patterns of practice. Medical terminology and standard medical abbreviations. Managed care concepts, the various health care delivery systems Methods for assessing an individual are level of physical/mental impairment, understanding of the physical and psychological characteristics of illness, and understanding of expected treatment. Confidentiality issues and the legal and ethical issues pertaining to them. ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable. Knowledge of benefits and various plan contracts, eligibility issues and requirements. Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care Program Excellent interpersonal, verbal and written communication and negotiations skills Strong analytical, data management and PC skills NursingCM Compensation Range: $38.05- $75.33 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to Talentacquisition@bmc.org or call 617-638-8582 to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips

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Responsibilities

The RN Case Manager assesses, plans, and implements care services to meet patient health needs while ensuring cost-effective outcomes. They coordinate with providers and facilities to manage patient care throughout the continuum of services.