RN Care Manager Menino 5 MedSurg 40 Hours 4-10 Hour Shifts Days Every 6th Weekend
RN Care Manager Menino 5 MedSurg 40 Hours 4-10 Hour Shifts Days Every 6th Weekend
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1 Vacancy
Job Description
POSITION SUMMARY:
Utilizing a collaborative process the care manager will assess plan implement monitor and evaluate the options and services required to meet an individuals health needs using communication and available resources to promote quality costeffective 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 costeffective 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: RN Care Manager
Department: Menino 5 Med/Surg
Schedule: 40 Hours 410 Hour Shifts / Days / Every 6th Weekend)
JOB REQUIREMENTS
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 35 yearsrecent clinicalexperiencerequiredand 13 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.
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.
ICD9 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
Required Experience:
Manager
Employment Type
Full-Time
