Float RN Care Manager, Case Management, 40 Hours (4-10hr Shifts / Days/Evenings / Every 6th Weekend)

Company: Boston Medical Center
Location: Boston
Posted on: April 4, 2025

Job Description:

Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery system that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.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: Float RN Care ManagerDepartment: Case ManagementSchedule: 40 Hours, 4 10hr Days /Every 6th WeekendJOB REQUIREMENTSEDUCATION:Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 yearsCERTIFICATES, 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 preferredEXPERIENCE:
  • 3-5 years of diversified clinical experience is required, certification preferred
  • A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management positionKNOWLEDGE AND SKILLS:
    • A minimum of 3-5 years recent clinical experience required, and 1-3 years of recent acute, Inpatient Care Management experience required.
    • Ability to understand confidentiality and the legal and ethical issues pertaining to patient health; understand medical terminology, how to obtain an accurate history; establish treatment goals; establish working relationships with referral sources; develop treatment plans.
    • Knowledge and understanding of methods for assessing an individual's level of physical/mental impairment; understand the physical and psychological characteristics of illness; ability to assist individuals with the development of short- and long-term health goals.
    • Ability to understand the requirements for prior approval by payer; evaluate the quality of necessary medical services; acquire and analyze the cost of care; understand the various health care delivery systems and payer plan contracts; demonstrate cost savings.
    • Ability to understand case management philosophy and principles; apply problem solving techniques to the care management process; document care management services; understand liability issues for care management activities.
    • Knowledgeable on how to access and evaluate the available resources to meet a client's needs; able to develop new resources.
    • Excellent interpersonal, verbal, and written communication and negotiation skills.
    • Strong analytical, data management and PC skills.
    • Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
    • Understanding of pre-acute and post-acute venues of care and post-acute community resources.
    • Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
    • Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.Equal Opportunity Employer/Disabled/Veterans
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Keywords: Boston Medical Center, Boston , Float RN Care Manager, Case Management, 40 Hours (4-10hr Shifts / Days/Evenings / Every 6th Weekend), Executive , Boston, Massachusetts