RN Care Coordinator-Complex Case Manager

Position RN Care Coordinator-Complex Case Manager Department Care Management Schedule Full Time 10am-6pm Experience 3-5 years of diversified clinical experience required, certification preferred Minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position Knowledge and Skills Minimum of 3-5 years recent clinical experience and 1-3 years of recent acute inpatient care management experience required Ability to understand confidentiality and the legal and ethical issues pertaining to patient health; understand medical terminology, 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 requirements for prior approval by payer; evaluate the quality of necessary medical services; acquire and analyze the cost of care; understand various health care delivery systems and payer plan contracts; 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 available resources to meet a client's needs; 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, prioritize multiple tasks and role components Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families Ability to partner with post-acute facilities to move patients to the next level of care that are considered long length of stay with difficult dispositions and possible insurance barriers Work with the Director and senior leadership team to devise solutions for patients to propose to senior leadership Any other duties assigned by the hospital, department, or director Compensation $85,176.00- $196,747.20 This range offers an estimate based on the minimum job qualifications. Our approach to determining base pay is comprehensive and considers a broad range of factors including education, experience, and licensure/certifications directly related to position requirements. BMCHS offers generous total compensation that includes benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Equal Opportunity Employer/Disabled/Veterans #J-18808-Ljbffr Boston Medical Center (BMC)