Registered Nurse Care Manager, 4E, 40 Hours (Four 10hr Days / Rotating Weekends)

Boston Medical Center (BMC); Boston (MA); On-site; USD 52,000 - 104,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

403(b) retirement match

Paid time off

Flexible Spending Accounts

Wellbeing resources

Job summary

Boston Medical Center (BMC) seeks a Registered Nurse Care Manager to coordinate and optimize patient care across the continuum. The role focuses on assessing, planning, implementing, monitoring, and evaluating services to meet health needs while promoting quality outcomes and cost efficiency.

The position supports the care management process and department, handling increased volume and collaborating with physicians, payers, and families to ensure timely, value-driven care.

Qualifications

• Graduate of an accredited BS program in Nursing preferred.
• Licensed to practice professional nursing in Massachusetts.
• 3–5 years of clinical experience required.
• 1–3 years in acute, inpatient care management or TCM program completion.

Responsibilities

• Assess, plan, implement, monitor and evaluate care options.
• Identify providers and facilities across the continuum.
• Promote cost-effective, timely care and resource use.
• Support the care management process and department.

Skills

Confidentiality & ethics

Medical terminology

Interpersonal communication

Negotiation skills

Data management

PC skills

Discharge planning

Education

Nursing degree: Diploma/ASN/BSN

BSN planned within 4 years

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:

Registered Nurse Care Manager

Department:

4E

Schedule:

40 Hours (Four 10hr Days / Rotating Weekends)

JOB REQUIREMENTS

• Graduate of an accredited BS program in Nursing preferred.


• Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 years

Certificates, Licenses, Registrations Required

• Licensed to practice professional nursing as a Registered Nurse in the Commonwealth of Massachusetts.

Experience

• A minimum of 3-5 years recent clinical experience required,


• 1-3 years of recent acute, Inpatient Care Management experience required or successful completion of the Transitional Care Management Program by start date.

Knowledge And Skills

• Ability to understand confidentiality and the legal and ethical issues pertaining to patient health; understand medical terminology, how to obtain an accurate history; establish treatment goals; establish working relationships with referral sources; develop treatment plans.


• Knowledge and understanding of methods for assessing an individual's level of physical/mental impairment; understand the physical and psychological characteristics of illness; ability to assist individuals with the development of short- and long-term health goals.


• Ability to understand the requirements for prior approval by payer; be able to evaluate the quality of necessary medical services; be able to acquire and analyze the cost of care; understand the various health care delivery systems and payer plan contracts; be able to demonstrate cost savings.


• Ability to understand case management philosophy and principles; apply problem solving techniques to the care management process; document care management services; understand liability issues for care management activities.


• Knowledgeable on how to access and evaluate the available resources to meet a client's needs; able to develop new resources.


• Excellent interpersonal, verbal, and written communication and negotiation skills


• Strong analytical, data management and PC skills.


• Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.


• Understanding of pre-acute and post-acute venues of care and post-acute community resources.


• Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.


• Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.

NursingCM

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

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or \"apps\" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.