Registered Nurse Case Manager, 4E, 40 Hour (Four 10hr Days / Rotating Weekends) Job at Boston Medical Center (BMC), Boston, MA

aW80QVFVNC9pZ1RCdzlCSytuSnpWZThJQVE9PQ==
  • Boston Medical Center (BMC)
  • Boston, MA

Job Description

Job 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: Registered Nurse Case Manager

Department: 4E

Schedule: 40 Hour (Four 10hr Days / Rotating Weekends)

Education

JOB REQUIREMENTS

Graduate of an accredited BS 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

3-5 years of diversified clinical experience is required

A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position, required.

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

Equal Opportunity Employer/Disabled/Veterans

Job Tags

Similar Jobs

Enterprise Bank and Trust

Financial Services Representative Job at Enterprise Bank and Trust

 ...Qualifications: Strong math and problem solving skills Excellent interpersonal and customer service skills with the ability to...  ..., including Microsoft Word, PowerPoint, and Excel Gmail Data entry and 40 WPM typing Ability to operate standard office equipment... 

THOR Solutions, LLC

Navy Financial Analyst Job at THOR Solutions, LLC

 ...Reports comparing funding appropriation level obligations and expenditures against sponsor goals and established Department of the Navy benchmarks. Perform fiscal year closeout and startup analyses, including Continuing Resolution scenario-based impacts on project... 

Bestica

Travel Nurse RN - Hospice - $2,566 per week Job at Bestica

 ...symptom control. About Bestica We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture... 

BCG Attorney Search

Patent Attorney Job at BCG Attorney Search

Job Overview: A forward-thinking law firm seeks an experienced Patent Attorney with expertise in 5G and wireless standards. This role will contribute immediately to a developing 5G standards practice, working directly with innovative technology clients and pioneering projects... 

KMRG, LLC

Military Travel Clerk Job at KMRG, LLC

 ...TELEWORK ~ N/A CLEARANCE ~ U.S. citizenship is required as it supports the U.S. federal government CLIENT ~ United States Navy TRAVEL ~ Travel is required WORK HOURS ~40 hours per week ~8 hours a day EMPLOYMENT CLASSIFICATION ~...