RN Care Manager, Emergency Department, 40 Hours (Days/Evenings)

Boston Medical Center (BMC); Boston (MA); On-site; USD 70,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated RN Care Manager for the Emergency Department. This role involves utilizing a collaborative process to assess and implement care plans, ensuring quality and cost-effective outcomes for patients. With a focus on managing resources efficiently, the RN Care Manager will play a vital role in supporting the overall care management process. Ideal candidates will have a strong clinical background, excellent communication skills, and a commitment to providing top-notch patient care. If you're ready to make a difference in a dynamic environment, this opportunity is for you.

Qualifications

• 3-5 years of diversified clinical experience, including care management.
• Licensed to practice as a Registered Nurse in Massachusetts.

Responsibilities

• Assess, plan, implement, monitor, and evaluate health needs.
• Identify appropriate providers and facilities for patient care.

Skills

Medical Terminology

Analytical Skills

Interpersonal Communication

Decision-Making

Negotiation Skills

Education

ADN Required

BSN Preferred

Job description

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RN Care Manager, Emergency Department, 40 Hours (Days/Evenings) New

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: Case Management - Emergency Department

Schedule: 40 Hours (Days/Evenings)

Education Requirements: ADN Required, BSN Preferred

Certificates, Licenses, Registrations Required: Licensed to practice as a Registered Nurse in the Commonwealth of Massachusetts. CCM or related certification attained within 24 months from the hire date is preferred.

Experience: 3-5 years of diversified clinical experience, including care management, is required. ED Experience preferred. A minimum of 2 years of previous experience involving judgment and decision-making, preferably in a utilization management/case management position.

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’s level of physical/mental impairment, understanding of illness characteristics, and expected treatment.
• Confidentiality issues and legal/ethical considerations.
• ICD-9 and CPT nomenclature and the ability to interpret and convert this information.
• Knowledge of benefits, plan contracts, eligibility issues, and requirements.
• Role and responsibilities of case management professionals; program philosophy within Managed Care.
• Excellent interpersonal, verbal and written communication, and negotiation skills.
• Strong analytical, data management, and PC skills.

Required to work every sixth weekend.

Rotating shifts (7a-5:30p/11a-9:30p).

Equal Opportunity Employer/Disabled/Veterans