Registered Nurse Case Manager, 4E, 40 Hours (4 -10hr / Days / Every 6th Weekend)

RN Coordination

Registered Nurse Case Manager, 4E, 40 Hours (4 -10hr / Days / Every 6th Weekend)

  • 38168
  • 840 Harrison Avenue, Boston, Massachusetts
  • Full Time
At Boston Medical Center (BMC), our nurses are changing the face of healthcare. At every level and on every unit, BMC nurses are advancing professional practice and delivering evidence-based care to our patients, families, and community. Join our Magnet® recognized organization as a registered nurse (RN) and help us continue to carry out our mission of delivering exceptional and equitable care to all As both the largest trauma hospital and largest safety net hospital in New England, you get a chance to be a part of exciting leading edge clinical care, in a truly mission driven organization.

As one of the top places to work in health care, we know that providing exceptional care for patients begins with caring for our staff. That’s why you’ll find a supportive work environment at BMC, with rich opportunities throughout your career for training, development, and growth and where you’ll have the tools you need to take charge of your own practice environment. There’s never been a better or more exciting time to become a BMC nurse.

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: Registered Nurse Case Manager

Location: Case Management

Schedule: 40 Hours (4 -10hr, Days, Every 6th Weekend)

ESSENTIAL RESPONSIBILITIES / DUTIES:

(these are a general summary and not all inclusive)

  • Ability to understand confidentiality and the legal and ethical issues pertaining to patient health; understand medical terminology, how to obtain an accurate history; establish treatment goals; establish working relationships with referral sources; develop treatment plans.
  • Knowledge and understanding of methods for assessing an individual's level of physical/mental impairment; understand the physical and psychological characteristics of illness; ability to assist individuals with the development of short- and long-term health goals.
  • Ability to understand the requirements for prior approval by payer; be able to evaluate the quality of necessary medical services; be able to acquire and analyze the cost of care; understand the various health care delivery systems and payer plan contracts; be able to demonstrate cost savings.
  • Ability to understand case management philosophy and principles; apply problem solving techniques to the care management process; document care management services; understand liability issues for care management activities.
  • Knowledgeable on how to access and evaluate the available resources to meet a client's needs; able to develop new resources.
  • Excellent interpersonal, verbal, and written communication and negotiation skills
  • Strong analytical, data management and PC skills.
  • Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
  • Understanding of pre-acute and post-acute venues of care and post-acute community resources.
  • Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
  • Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.

JOB REQUIREMENTS

EDUCATION:

  • Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 years

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

  • Licensed to practice professional nursing as a Registered Nurse in the Commonwealth of Massachusetts.

EXPERIENCE:

  • A minimum of 3-5 years recent clinical experience required, and 1-3 years of recent acute, Inpatient Care Management experience required.

Preferred Skills and Experience

  • Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

Equal Opportunity Employer/Disabled/Veterans

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EEO & Accommodation Statement
Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.
If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to Talentacquisition@bmc.org or call 617-638-8582 to let us know the nature of your request

E-Verify Program
Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check and receive medical clearance before beginning their employment at the hospital.

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