RN Care Coordinator (Per Diem)

bmc; Boston (MA); On-site; USD 58,000 - 136,000; Part time

Job summary

BMCHS is seeking an experienced RN Care Coordinator to join our Care Management team in Massachusetts. This per diem role focuses on assessing needs, coordinating services, and ensuring cost-effective, quality outcomes for patients.

The successful candidate will hold an RN license in MA, with a Diploma/ASN/BSN, BLS certification, and 2 years med-surg plus discharge planning experience; InterQual knowledge is a plus.

Qualifications

• Nursing degree required (Diploma/ASN/BSN preferred; BSN within 4 years)
• Licensed RN in Massachusetts; current BLS certification
• 2 years med-surg experience; 1 year discharge planning
• 2 years in utilization/case management; InterQual experience preferred
• Strong knowledge of managed care concepts and medical terminology

Responsibilities

• Assess, plan, implement, monitor, and evaluate care options and services for individuals
• Identify appropriate providers and facilities across the continuum of care
• Promote quality, cost-effective outcomes for patients and payors
• Support the care management process and department amid higher volume

Skills

Medical terminology

InterQual experience

Negotiation skills

Analytical skills

PC skills

Education

Bachelor/ASN/BSN preferred

Tools

BLS

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 Coordinator (Per Diem)

Department: Care Management

Schedule: Per Diem

JOB REQUIREMENTS

Education

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

Certification/Licensure

• Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts
• Certification in basic life support (BLS)

Experience

• 2 years Med Surge experience required
• 1 year discharge planning experience required
• 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position required
• InterQual 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

Compensation Range

$41.77- $98.41 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