RN Float Case Manager, Care Management (30 hours, 3 - 10hr, Day/Evening, Rotating Weekends)

Boston Medical Center; Boston (MA); On-site; USD 60,000 - 100,000; Part time

Job summary

An established industry player is seeking a dedicated RN Float Case Manager to join their Care Management team. This role involves a collaborative approach to assess and implement care plans that meet individual health needs. The successful candidate will be responsible for ensuring timely and cost-effective use of resources, thereby promoting quality outcomes for patients. With a focus on improving care management processes, this position offers a unique opportunity to make a significant impact in a dynamic healthcare environment. If you are passionate about patient care and have the necessary clinical experience, this could be the perfect role for you.

Qualifications

• Graduate of an accredited BS Program in Nursing.
• 3-5 years of diversified clinical experience required.

Responsibilities

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

Skills

Interpersonal Skills

Analytical Skills

Communication Skills

Knowledge of Medical Terminology

Negotiation Skills

Education

BS in Nursing

Tools

PC Skills

Job description

Position: RN Float Case Manager

Department: Care Management

Schedule: 30 hours (3 - 10's, Days/Evenings, Rotating Weekends)

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.

JOB REQUIREMENTS

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:

• 3-5 years of diversified clinical experience is required
• 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 and the various health care delivery systems.
• Methods for assessing an individual’s 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 negotiation skills.
• Strong analytical, data management and PC skills.

Equal Opportunity Employer/Disabled/Veterans