Charge RN, Case Management, 40 Hours (7a-3:30p, Mon-Fri / No Weekends)

POSITION SUMMARY:

As a CM Charge RN at Boston Medical Center, a Level 1 Trauma Center, you will play a pivotal role in coordinating comprehensive, patient-centered care for complex cases across the continuum of care. You will act as a leader and liaison between healthcare teams, patients, and families, ensuring that patient care plans are effectively managed and optimized for successful outcomes. Your expertise will drive care coordination, patient advocacy, and efficient resource utilization, while promoting adherence to clinical protocols and enhancing the quality of patient care.

Utilizing a collaborative process, the CM Charge RN 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 CM Charge RN helps identify appropriate 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.

The CM Charge RN is responsible for the case management functions related to the inpatient population as defined by leadership. He/she maintains a smaller patient census while also performing a comprehensive supportive role to the regular floor case managers.

Position: Charge RN

Department: Case Management

Schedule: 40 Hours (7a-3:30p, Mon-Fri / No Weekends)

ESSENTIAL RESPONSIBILITIES / DUTIES:

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.

Care Coordination:

Oversee the coordination and transition of patient care for complex cases, particularly those requiring trauma or critical care.

Collaborate with multidisciplinary teams to develop and implement individualized care plans.

Ensure seamless transitions of care, from admission through discharge and post-discharge follow-up.

Case Management:

Conduct comprehensive assessments to determine patients' needs, including medical, social, and psychological aspects.

Work with providers to establish goals, timelines, and strategies for effective case management.

Monitor patient progress and adjust care plans as needed to reflect changes in patient condition or treatment.

Patient Advocacy:

Act as an advocate for patients and families, facilitating communication and addressing concerns throughout their care journey.

Provide education on patient care plans, treatments, and discharge instructions to ensure understanding and adherence.

Support patients and families in navigating complex healthcare systems, connecting them with community resources and services as needed.

Leadership and Supervision:

Serve as a resource and mentor for nursing staff and case management team members.

Provide guidance and supervision to staff involved in patient care planning, promoting adherence to best practices and hospital policies.

Collaborate with leadership to implement quality improvement initiatives that enhance patient care, safety, and satisfaction.

Documentation and Compliance:

Maintain accurate and timely documentation in accordance with hospital and regulatory standards.

Ensure compliance with all state, federal, and accreditation requirements related to case management and discharge planning.

Participate in audits, data collection, and reporting related to patient care outcomes and resource utilization.

JOB REQUIREMENTS

EDUCATION:

Associate's Nursing Degree 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 is required
• A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position
• Charge/Supervisory experience preferred

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

Equal Opportunity Employer/Disabled/Veterans