RN Float Case Manager, 20 Hours (Days / 2x10 Hour Shifts / Every Weekend)

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

Job summary

Boston Medical Center is seeking an RN Float Case Manager for the Care Management department. The role involves a collaborative process to assess, plan, implement, monitor and evaluate services to meet complex health needs, using resources to obtain quality, cost-effective outcomes for patients and payers.

The position requires a BSN, Massachusetts RN licensure, and a CCM or related certification is preferred within 24 months of hire.

Qualifications

• Graduate of an accredited BSN program in Nursing.
• Licensed to practice as a Registered Nurse in Massachusetts.
• CCM or related certification preferred within 24 months from hire date.
• 1–3 years of acute inpatient care management experience required.
• 2+ years of judgment and decision-making experience in utilization or case management.

Responsibilities

• Assess, plan, implement, monitor and evaluate care options to meet health needs.
• Identify appropriate providers and facilities across the continuum of care.
• Collaborate to promote quality, cost-effective outcomes and optimum value for patient and payer.

Skills

Interpersonal communication

Verbal communication

Written communication

Negotiation skills

Analytical skills

Data management

Medical terminology

Managed care concepts

ICD-9 CPT nomenclature

Education

BSN degree

Tools

PC skills

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 Float Case Manager

Department

Care Management

Schedule

20 Hours (Days / 2x10 Hour Shifts / Every Weekend)

Education

Graduate of an accredited BS Program in Nursing

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

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

$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