RN Care Manager, Emergency Department, 30 Hours

3 days ago


Boston MA United States Boston Medical Center Full time

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: Emergency Department

Schedule: 30 Hours (Day/Evening)

JOB REQUIREMENTS

EDUCATION:

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 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


every 6th weekend, mix of day 7a-530p and 11a-930p

Equal Opportunity Employer/Disabled/Veterans

#J-18808-Ljbffr

  • Boston, MA, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryUtilizing 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...


  • Boston, MA, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryUtilizing 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...


  • Boston, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryUtilizing 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...


  • Boston, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryUtilizing 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...


  • Boston, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryUtilizing 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...


  • Boston, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryUtilizing 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...

  • Child Life Specialist

    3 weeks ago


    Boston, MA, United States Boston Children's Hospital Full time

    Emergency Department (three, 10 hour days) 30 hours a weekThis Child Life Specialist will:Participate in therapeutic activities and programs to meet patients' psychosocial and developmental needs, and facilitate adjustment to health care experiences.Serve as member of multidisciplinary team.Delegate work assignments to volunteers and participate in clinical...

  • Child Life Specialist

    2 months ago


    Boston, MA, United States Boston Children's Hospital Full time

    Emergency Department (three, 10 hour days) 30 hours a weekThis Child Life Specialist will:Participate in therapeutic activities and programs to meet patients' psychosocial and developmental needs, and facilitate adjustment to health care experiences.Serve as member of multidisciplinary team.Delegate work assignments to volunteers and participate in clinical...

  • RN Case Manager

    1 month ago


    Boston, MA, United States Massachusetts General Hospital Full time

    Job DescriptionAs Registered Nurses (RNs) at Massachusetts General Hospital, our every action is guided by knowledge, enabled by skill, and motivated by compassion. Patients are our primary focus, and the way we deliver care reflects that focus every day. We believe in creating a healing environment — an environment that is safe, has no barriers, and is...


  • Boston, MA, United States Boston Medical Center Full time

    POSITION SUMMARY: The Night Nurse Manager will be responsible for day-to-day operations of the Emergency Department, including but not limited to employee evaluations, recruitment, retention, and employee engagement. The responsibilities also include ensuring the provision of patient care consistent with department/hospital and regulatory standards. This...


  • Boston, MA, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryThe Night Nurse Manager will be responsible for day to day operations of the Emergency Department, including but not limited to, employee evaluations, recruitment, retention, employee engagement. the responsibilities also include ensuring the provision of patient care consistent with department/hospital and regulatory...


  • Boston, MA, United States Boston Medical Center (BMC) Full time

    Job DescriptionPosition SummaryThe Night Nurse Manager will be responsible for day to day operations of the Emergency Department, including but not limited to, employee evaluations, recruitment, retention, employee engagement. the responsibilities also include ensuring the provision of patient care consistent with department/hospital and regulatory...

  • Child Life Specialist

    2 months ago


    Boston, United States Boston Children's Hospital Full time

    Emergency Department (three, 10 hour days) 30 hours a weekThis Child Life Specialist will:Participate in therapeutic activities and programs to meet patients' psychosocial and developmental needs, and facilitate adjustment to health care experiences.Serve as member of multidisciplinary team.Delegate work assignments to volunteers and participate in clinical...


  • Boston, MA, United States Brigham and Women's Faulkner Hospital Full time

    Job DescriptionSchedule: 36 hours, Nights - 3-12 hour shifts, 7pm-7:30 am, Every other weekend, holiday rotation. Competitive Benefits package including Public Service Loan Forgiveness ED OverviewAs an integrated part of Brigham and Women’s Emergency Department, staff at Brigham and Women’s Faulkner Hospital’s Emergency Department provides...


  • Boston, MA, United States Brigham & Women's Faulkner Hospital Full time

    Schedule: 36 hours, Nights - 3-12 hour shifts, 7pm-7:30 am, Every other weekend, holiday rotation. Competitive Benefits package including Public Service Loan Forgiveness. ED Overview As an integrated part of Brigham and Women's Emergency Department, staff at Brigham and Women's Faulkner Hospital's Emergency Department provides compassionate and...

  • Child Life Specialist

    2 months ago


    Boston, United States Boston Children's Hospital Full time

    Emergency Department (three, 10 hour days) 30 hours a weekThis Child Life Specialist will:Participate in therapeutic activities and programs to meet patients' psychosocial and developmental needs, and facilitate adjustment to health care experiences.Serve as member of multidisciplinary team.Delegate work assignments to volunteers and participate in clinical...


  • Boston, MA, United States Massachusetts General Physicians’ Organization Full time

    Job Description - Patient Care Associate (CNA) | Emergency Department | 36 hrs. | 11 am – 11:30 pm (3310610) Sign on bonus eligible The Opportunity: Patient Care Associate – The Emergency Department The Emergency Department is a Level I Adult, Pediatric and Burn Trauma Center. It spans the ground floor of 3 buildings and is divided into several areas,...

  • RN Case Manager

    4 weeks ago


    Boston, United States Massachusetts General Hospital Full time

    Job DescriptionAs Registered Nurses (RNs) at Massachusetts General Hospital, our every action is guided by knowledge, enabled by skill, and motivated by compassion. Patients are our primary focus, and the way we deliver care reflects that focus every day. We believe in creating a healing environment — an environment that is safe, has no barriers, and is...

  • RN Case Manager

    2 months ago


    Boston, United States Massachusetts General Hospital Full time

    Job DescriptionAs Registered Nurses (RNs) at Massachusetts General Hospital, our every action is guided by knowledge, enabled by skill, and motivated by compassion. Patients are our primary focus, and the way we deliver care reflects that focus every day. We believe in creating a healing environment — an environment that is safe, has no barriers, and is...

  • RN Case Manager

    2 months ago


    Boston, United States Massachusetts General Hospital Full time

    Description As Registered Nurses (RNs) at Massachusetts General Hospital, our every action is guided by knowledge, enabled by skill, and motivated by compassion. Patients are our primary focus, and the way we deliver care reflects that focus every day. We believe in creating a healing environment - an environment that is safe, has no barriers, and is built...