Care Management Specialist

4 weeks ago


Boston, Massachusetts, United States Compunnel Full time
Job Summary
The Registered Nurse in Care Management will work within a collaborative healthcare team to assess, plan, implement, and evaluate the services needed to meet the health needs of patients. Key Responsibilities include:

  • Utilize a collaborative process to assess, plan, implement, and monitor services needed for patient care.
  • Manage the patient's length of stay and ensure efficient use of inpatient resources.
  • Conduct assessments using standardized criteria to determine medical necessity and appropriateness of admission.
  • Support the coordination of care across multidisciplinary teams.
  • Evaluate patients' needs to determine what interventions, resources, and services are necessary to improve outcomes.
  • Ensure compliance with payer contracts.
  • Communicate effectively with patients, families, and interdisciplinary teams to manage care, provide education, and ensure smooth transitions throughout the patient's hospital stay.
  • Maintain accurate, up-to-date documentation in the electronic health record (EHR) system.
  • Advocate for patients' care needs and collaborate with physicians and healthcare providers to ensure that care plans align with clinical guidelines and patient preferences.


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