RN Care Manager Emergency Department 40 Hours DaysEvenings
RN Care Manager Emergency Department 40 Hours DaysEvenings
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1 Vacancy
Job Description
POSITION SUMMARY:
Position: RN Care Manager
Department: Case Management Emergency Department
Schedule: 40 Hours (Days/Evenings)
JOB REQUIREMENTS
EDUCATION:
ADN required BSN preferred
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 including care management 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
Required to work every sixth weekend
Rotating shifts 7a5:30p/11a9:30p)
Equal Opportunity Employer/Disabled/Veterans
Required Experience:
Manager
Employment Type
Full-Time
