Join to apply for the RN Care Manager, Emergency Department, 20 Hours (Evenings/Weekend) role at Boston Medical Center (BMC)
3 days ago Be among the first 25 applicants
Join to apply for the RN Care Manager, Emergency Department, 20 Hours (Evenings/Weekend) role at Boston Medical Center (BMC)
Position Summary
Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individuals 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 Summary
Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individuals 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 Care Manager
Department: Emergency Department
Schedule: 20 Hours (Evenings/Weekend Position)
Education
Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 years
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
3-5 years of diversified clinical experience is required
ED experience preferred
A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position
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
weekends, 11a-930p
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. Seniority level Seniority level Mid-Senior level
Employment type Employment type Part-time
Job function Job function Health Care Provider
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Boston Medical Center (BMC) by 2x
Get notified about new Nursing Manager jobs in Boston, MA .
Boston, MA $75,000.00-$161,000.00 5 months ago
Registered Nurse - Women's Health Coordinator Boston, MA $75,000.00-$150,000.00 4 months ago
Chestnut Hill, MA $25,000.00-$200,000.00 13 hours ago
Boston, MA $25,000.00-$200,000.00 15 hours ago
Boston, MA $75,000.00-$161,000.00 4 months ago
Urgent Care - Lead Advanced Nurse Practitioner (NP) (Part Time) Urgent Care - Lead Advanced Nurse Practitioner (NP)(Per Diem) Urgent Care - Lead Advanced Nurse Practitioner (NP) (Per Diem) Beverly, MA $3,050.00-$3,050.00 1 week ago
Chelsea, MA $75,000.00-$150,000.00 5 months ago
Cambridge, MA $75,000.00-$150,000.00 7 months ago
Boston, MA $75,000.00-$150,000.00 4 months ago
Concord, MA $2,705.84-$2,705.84 1 week ago
Watertown, MA $75,000.00-$150,000.00 5 months ago
Randolph, MA $75,000.00-$150,000.00 2 months ago
Lawrence, MA $2,693.11-$2,693.11 5 days ago
Registered Nurse - In-Home Assessments - Boston, MA Director of Health Services (Registered Nurse) Newton Centre, MA $90,000.00-$100,000.00 5 days ago
Urgent Care - Lead Advanced Nurse Practitioner (NP) (Per Diem) Registered Nurse - Emergency Department Case Manager Boston, MA $75,000.00-$150,000.00 5 months ago
Assistant Wellness Director - Registered Nurse Home Health Visiting Registered Nurse (RN) Registered Nurse (RN) Case Manager- Home Health Lexington, MA $85,000.00-$120,000.00 1 day ago
Health Care Coordinator/Registered Nurse Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr