RN Case Manager, Inpatient

Boston Children's Hospital; Boston (MA); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Flexible schedules

Affordable health

Vision and dental insurance

Child care and student loan subsidies

Generous time off

403(b) Retirement Savings plan

Pension

Tuition and license/certification Reim

Cell phone plan discounts

Discounted T-passes

Job summary

Boston Children’s Hospital seeks an experienced RN Case Manager to coordinate the transition from hospital to home or facilities. The role requires clinical assessments to determine options for patients and insurance needs, and collaboration with clinical teams to obtain equipment for safe home transition.

Responsibilities include coordinating with inpatient teams, understanding post-acute care needs, and ensuring cost-effective, high-quality service delivery while supporting patients and

Qualifications

• Bachelor's degree in nursing required.
• Massachusetts RN license required.
• 5+ years nursing experience; pediatrics preferred.
• Experience in discharge planning or utilization management preferred.

Responsibilities

• Assessing and coordinating daily clinical operations of care coordination and transitions.
• Understanding community health services, payer systems and post-acute needs.
• Collaborating with inpatient nursing teams and case managers.
• Integrating regulatory requirements, length of stay, and funding sources to optimize services.
• Participating in hospital and departmental programs and projects.
• Work 40 hours per week, Monday–Friday, with rotating holidays and weekends.

Skills

Nursing

Case management

Interdisciplinary collaboration

Regulatory knowledge

Education

Bachelor's degree in nursing

Master's in related healthcare field

Job description

Position Summary/Department Summary

The inpatient and outpatient RN Case Managers at Boston Children's function as the clinical professionals who coordinate the transition from hospital to home or facilities, based on patient need. RN Case Managers perform clinical assessments to determine options for patients based on clinical need as well as insurance options. RN Case Managers work collaboratively with clinical teams, obtaining medically necessary equipment for the patient to safely transition to home considering the most fiscally responsible options. Examples include intravenous therapies, enteral therapies, durable medical equipment and dressing supplies. RN Case Managers also perform clinical assessments for services including skilled nursing services, home health aides and personal care attendants. They collaborate with, and are part of the multidisciplinary team who ensure patients have the equipment and services necessary for our patients to remain in the communities where they live.

Position Summary/Department Summary

The inpatient and outpatient RN Case Managers at Boston Children's function as the clinical professionals who coordinate the transition from hospital to home or facilities, based on patient need. RN Case Managers perform clinical assessments to determine options for patients based on clinical need as well as insurance options. RN Case Managers work collaboratively with clinical teams, obtaining medically necessary equipment for the patient to safely transition to home considering the most fiscally responsible options. Examples include intravenous therapies, enteral therapies, durable medical equipment and dressing supplies. RN Case Managers also perform clinical assessments for services including skilled nursing services, home health aides and personal care attendants. They collaborate with, and are part of the multidisciplinary team who ensure patients have the equipment and services necessary for our patients to remain in the communities where they live.

Key Responsibilities

• 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 inpatient patients and families.
• Collaborative work with inpatient nursing 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, as required, in hospital, departmental and multidisciplinary programs, committees and special projects.
• Working 40 hours per week, Monday through Friday, operational hours 8:00 am to 4:30 pm with rotating holidays and weekends

Education

Minimum Qualifications

• A Bachelor's degree in nursing.
• Master's in a related Healthcare field preferred.

Experience

• A minimum of 5 years nursing experience required; pediatrics preferred.
• Experience as a Case Manager (Discharge Planning and/or Utilization Management) preferred.

Licensure/ Certifications

• Current Massachusetts license as a Registered Nurse (RN)
• A certification as a Certified Case Manager is preferred, if not willingness to obtain within the first two years of employment.

The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes.

Benefits

• flexible schedules
• affordable health
• vision and dental insurance
• child care and student loan subsidies
• generous levels of time off
• 403(b) Retirement Savings plan
• Pension
• Tuition and certain License and Certification Reimbursement
• cell phone plan discounts
• discounted rates on T-passes

Experience the benefits of passion and teamwork.