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

Roslindale; Boston, Northern (MA, KY); Hybrid; USD 52,000 - 103,000; Part time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Pharmacy benefits

Flexible Spending Accounts

403(b) matching

Paid time off

Career advancement opportunities

Wellbeing resources

Job summary

BMCHS is seeking an RN Care Manager for the Emergency Department. The role supports care coordination across the continuum, assessing needs, planning interventions, and monitoring outcomes to promote quality and cost-effectiveness.

The position requires an RN license in MA, a nursing degree, and 3–5 years of clinical experience with case management. CCM is preferred; ED experience is a plus. Weekend evenings and one weekday evening shift are required.

Qualifications

• Nursing degree: Diploma, ASN or BSN preferred, BSN within 4 years.
• Licensed to practice as an RN in Massachusetts by start date.
• CCM or related certification preferred within 24 months of hire.
• 3–5 years of diversified clinical experience including 1 year case management.

Responsibilities

• Assess, plan, implement, monitor and evaluate options and services for health needs.
• Identify appropriate providers and facilities across the continuum of services.
• Ensure resources are used timely and cost-effectively for optimum value.
• Support the care management process and department during high volume.

Skills

Interpersonal communication

Verbal communication

Written communication

Negotiation skills

Analytical skills

Data management

PC skills

Education

Nursing degree

Tools

ICD-9 CPT nomenclature

Professional licensure management

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

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
• resources to support employee and family wellbeing

Equal Opportunity Employer/Disabled/Veterans