Per Diem RN Case Manager, Utilization Management/Review

Boston Children's Hospital; Boston (MA); On-site; USD 70,000 - 95,000; Part time

Job summary

An established industry player in healthcare is seeking a Per Diem RN Case Manager to enhance patient care through effective coordination and management. This role emphasizes the importance of community health services and collaboration with multidisciplinary teams. The ideal candidate will have a strong nursing background, preferably in pediatrics, and be committed to optimizing patient transitions and care delivery. Join a diverse team dedicated to making a difference in the lives of patients and their families, while enjoying a supportive and inclusive work environment.

Qualifications

• 5+ years of nursing experience, preferably in pediatrics.
• Certification as a Certified Case Manager preferred.

Responsibilities

• Oversee daily clinical operations of care coordination.
• Collaborate with clinic teams and inpatient case managers.

Skills

Nursing Experience

Care Coordination

Community Health Services

Regulatory Requirements

Case Management

Education

BSN

Master's in Healthcare

Job description

Job Posting Description

At Boston Children's Hospital, the quality of our care - and our inclusive hospital working environment - lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.

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.

Boston Children's Hospital requires all employees to be vaccinated against COVID-19 and Flu, (unless you are eligible for a medical or religious exemption).

Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.