RN Case Manager ED 20 Hours DaysEvenings
RN Case Manager ED 20 Hours DaysEvenings
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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 Case Manager
Department: ED Case Management
Schedule: 20 Hours (Days/Evenings)
JOB REQUIREMENTS
EDUCATION:
Nursing degree: Diploma ASN or BSN (preferred) Ability to obtain BSN within 4 years
CERTIFICATES LICENSES REGISTRATIONS REQUIRED:
- Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts
- CCM or related certification attained within 24 months from the hire date is preferred
EXPERIENCE:
- 35 years of diversified clinical experience is required
- ED experience preferred
- A minimum of 2 years of previous experience involving judgment and decision making preferably in a utilization management/case management position
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
every sixth weekend mix of day 7a530p and eve 11a930
Equal Opportunity Employer/Disabled/Veterans
Required Experience:
Manager
Employment Type
Part-Time
