Registered Nurse Care Manager, 4E, 40 Hours (Four 10hr Days / Rotating Weekends)

About the Role

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.

Schedule

40 hours per week (four 10-hour days with rotating weekends).

Requirements

• Graduate of an accredited nursing program (Diploma, ASN, or BSN; BSN preferred). Ability to obtain BSN within 4 years if not already held.
• Licensed to practice professional nursing as a Registered Nurse in the Commonwealth of Massachusetts.
• A minimum of 3-5 years of recent clinical experience.
• 1-3 years of recent acute, inpatient care management experience required or successful completion of the Transitional Care Management Program by start date.

Skills

• Understanding of confidentiality, legal, and ethical issues pertaining to patient health.
• Knowledge of medical terminology, accurate history-taking, treatment goal-setting, and developing working relationships with referral sources.
• Ability to assess physical/mental impairment, understand illness characteristics, and assist in developing short- and long-term health goals.
• Understanding of payer prior-approval requirements, quality evaluation of medical services, cost-of-care analysis, and healthcare delivery systems.
• Knowledge of case management philosophy, problem-solving techniques, documentation, and liability issues.
• Ability to access, evaluate, and develop resources to meet client needs.
• Excellent interpersonal, verbal, 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 community resources.
• Strong organizational and time management skills, with the capacity to prioritize multiple tasks.
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients, and families.

Pay

Compensation range: $38.05–$75.33 per hour. This range is based on minimum job qualifications; actual base pay considers education, experience, and licensure/certifications directly related to the position.

Benefits

• Medical, dental, vision, and pharmacy benefits.
• Contract increases and Flexible Spending Accounts.
• 403(b) savings match.
• Earned time cash out and paid time off.
• Career advancement opportunities.
• Resources to support employee and family wellbeing.