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

BMC Software; Boston (MA); On-site; USD 52,000 - 104,000; Part time

Job summary

BMC Software is seeking an RN Care Manager for the Emergency Department in Massachusetts. The role involves assessing, planning, implementing, monitoring and evaluating care to meet individual health needs and ensure cost-effective outcomes.

Schedule includes 30 hours weekly with weekend evenings (11am–9:30pm) and one weekday shift (evenings). Requires Massachusetts RN licensure and nursing degree; CCM preferred within 24 months from hire.

Qualifications

• Nursing degree required; Diploma, ASN or BSN preferred, with BSN achievable within 4 years.
• Licensed RN in Massachusetts by start date; CCM or related certification preferred within 24 months.

Responsibilities

• Assess, plan, implement, monitor and evaluate care to meet individual health needs.
• Identify appropriate providers and facilities to optimize value for patient and payer.
• Support increased volume and overall care management processes within the department.

Skills

Interpersonal communication

Verbal communication

Written communication

Negotiation skills

Analytical skills

Data management

PC skills

Education

Nursing diploma/ASN/BSN

Ability to obtain BSN within 4 years

Tools

PC skills

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: RN Care Manager

Department: Emergency Department

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

JOB REQUIREMENTS

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 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

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans