Per Diem RN Case Manager, Utilization Management/Review

Company: Boston Children's Hospital
Location: Boston
Posted on: April 3, 2025

Job Description:

The Per Diem RN Case Manager (inpatient and/or ambulatory) will be responsible for:

• Assessing, planning, organizing and overseeing daily clinical operations of care coordination and transitions to address the comprehensive and complex health needs of the patient and family.
• Possessing knowledge of community health services, payer systems and post-acute care needs for outpatient and inpatient patients and families.
• Collaborative work with clinic teams and inpatient case managers.
• Demonstrating the ability to integrate regulatory requirements, length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services.
• Actively participating in departmental and multidisciplinary programs, committees and special projects.
• Working M-F days as needed (including up to 3 weekends per year)To qualify, you must have:
  • A BSN; Master's in a related Healthcare field preferred.
  • A minimum of 5 years nursing experience required, pediatrics preferred.
  • A certification as a Certified Case Manager is preferred, if not must obtain within the first two years of employment.
  • Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.

Keywords: Boston Children's Hospital, Boston , Per Diem RN Case Manager, Utilization Management/Review, Executive , Boston, Massachusetts