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Per Diem RN Case Manager, Utilization Management/Review

Black Women's Mental Health Institute

Boston (MA)

On-site

USD 75,000 - 150,000

Full time

7 days ago
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Job summary

A leading organization is seeking a Per Diem RN Case Manager in Boston to manage inpatient and outpatient care coordination. The role requires a BSN and at least 5 years of nursing experience, with responsibilities including collaboration with teams and program participation. Candidates who are motivated and have a background in pediatrics are encouraged to apply.

Qualifications

  • Minimum 5 years nursing experience, preferably in pediatrics.
  • Certified Case Manager certification preferred or to be obtained within two years.
  • Experience in discharge planning or utilization management is desirable.

Responsibilities

  • Responsible for assessing, planning, organizing, and overseeing daily care coordination.
  • Collaborates with clinic teams and inpatient case managers.
  • Participates in departmental, multidisciplinary programs and committees.

Skills

Knowledge of community health services
Care coordination
Transitional care management

Education

BSN (Bachelor of Science in Nursing)
Master's degree preferred

Job description

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The Per Diem RN Case Manager (inpatient and/or ambulatory) is responsible for assessing, planning, organizing, and overseeing daily care coordination and transition activities to meet patients' complex health needs.

  • Requires knowledge of community health services, payer systems, and post-acute care for outpatient and inpatient populations.
  • Collaborates with clinic teams and inpatient case managers to ensure seamless care.
  • Integrates regulatory requirements, length of stay, resource allocation, funding, and capacity management to optimize service delivery.
  • Participates actively in departmental, multidisciplinary programs, committees, and special projects.
  • Works Monday through Friday days, with occasional weekend work up to three times per year.

To qualify, candidates need a BSN (Master's preferred), at least 5 years of nursing experience (pediatrics preferred), and a Certified Case Manager certification (preferred or to be obtained within two years).

Experience in discharge planning or utilization management is desirable.

Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Health Care Provider
  • Industries
    Mental Health Care

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