Case Manager-RN, Emergency Department, 30 Hours (Evenings)

Boston Medical Center (BMC); Boston (MA); On-site; USD 52,000 - 103,000; Full time

Benefits offered by this job

Medical, dental, vision

403(b) matching

Paid time off

Flexible Spending Accounts

Career advancement opportunities

Wellbeing resources

Job summary

Boston Medical Center (BMC) seeks an experienced RN Care Manager for the Emergency Department. The role focuses on assessing, planning, implementing, monitoring, and evaluating care options to meet patient health needs using available resources to promote quality outcomes.

Responsibilities include identifying appropriate providers, coordinating across the continuum, and supporting the department’s care management process to handle rising volumes.

Qualifications

• Nursing degree required; BSN preferred; ability to obtain BSN within 4 years.
• License to practice as RN in MA by start date.
• CCM or related certification preferred within 24 months from hire date.
• 3-5 years clinical experience; 1 year case management required; ED experience preferred.
• Knowledge of managed care concepts and ICD-9/CPT terminology.
• Excellent interpersonal, verbal and written communication and negotiations skills.

Responsibilities

• Assess, plan, implement, monitor, and evaluate care options across the continuum.
• Coordinate with providers and facilities to ensure timely, cost-effective care.
• Support the care management process and department to handle increased volume.

Skills

Interpersonal skills

Verbal communication

Written communication

Negotiation skills

Data management

Analytical skills

Education

Nursing degree (Diploma/ASN/BSN)

Tools

Microsoft Office

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 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 Care Manager

Department: Emergency Department

Schedule: 30 Hours - Weekend evenings (11-9:30pm), One Weekday shift (Evenings)

Job Requirements:

• 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 by start date
• CCM or related certification attained within 24 months from the hire date is preferred

Experience:

• 3-5 years of diversified clinical experience, including 1 year case management is required
• ED experience preferred

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:

• Every weekend evening shift (11a-9:30pm)
• One weekday shift (days/evenings)

Compensation Range: $38.05- $75.33

Benefits:

• medical, dental, vision, pharmacy
• contract increases
• Flexible Spending Accounts
• 403(b) savings matches
• earned time cash out
• paid time off
• career advancement opportunities
• resources to support employee and family wellbeing

Equal Opportunity Employer/Disabled/Veterans