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RN Care Coordinator (Per Diem)

$40.95 - $94.59 per hour

Boston Medical Center

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 to obtain optimum value for both the patient and the reimbursement source. This role supports the overall care management process and the department and is dedicated to handling increased volume. Job Requirements Education Diploma, ASN, or BSN in Nursing (preferred) Ability to obtain BSN within 4 years Licensure Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts. Certification Basic Life Support (BLS) certification. Experience 2 years of Medical‑Surgical experience

  1. year of discharge planning experience
  2. years of experience involving judgment and decision‑making, preferably in a utilization management or case management position
InterQual 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 and various health care delivery systems Methods for assessing an individual’s level of physical/mental impairment and understanding of the physical and psychological characteristics of illness Confidentiality issues and legal and ethical considerations ICD‑9 and CPT nomenclature and the ability to interpret and convert this information Knowledge of benefits and various plan contracts, eligibility issues and requirements Role and functional responsibilities of case management professionals; case management program philosophy and purpose within Managed Care Program Excellent interpersonal, verbal and written communication and negotiation skills Strong analytical, data management and PC skills Compensation Range: $40.95–$94.59 per hour. Base pay is determined by a comprehensive assessment of education, experience, licensure, and certifications. Benefits Medical, dental, vision, pharmacy, flexible spending accounts, 403(b) savings match, earned time cash out, paid time off, career advancement opportunities, and resources supporting employee and family wellbeing. Equal Opportunity Employment Boston Medical Center is an equal employment/affirmative action employer and provides employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, or other non‑job‑related characteristics. Background Verification and Vaccination All prospective employees must complete a background check under the Electronic Employment Verification Program (E‑Verify) and are required to be vaccinated against COVID‑19 and influenza, including a booster dose of the COVID‑19 vaccine. #J-18808-Ljbffr Boston Medical Center

Vacancy posted 1 day ago
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