Company
RNCareManager,EmergencyDepartment,30Hours(Day/Evening)
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“RN Care Manager, Emergency Department, 30 Hours (Day/Evening). Skills: care management, clinical experience, judgment and decision making, utilization management, case management. assess, plan, implement, monitor, and evaluate the options and services required to meet an individual’s health needs. identify appropriate providers and facilities throughout the continuum of services”
What You'll Achieve.
promote quality, cost-effective outcomes; obtain optimum value for both the patient and the reimbursement source
Industry & Context.
analytical; data management
What They're Looking For.
Must Have
Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts, 3-5 years of diversified clinical experience, including care management is required, A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position
Nice to Have
BSN preferred, CCM or related certification attained within 24 months from the hire date is preferred, ED experience preferred
What You'll Do.
and evaluate the options and services required to meet an individual’s health needs
identify appropriate providers and facilities throughout the continuum of services
ensuring that available resources are being used in a timely and cost-effective manner
How You'll Work.
Team & Collaboration
Utilizing a collaborative process
Communication Scope
verbal and written communication
Full 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 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 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:** Emergency Department **Schedule:** 30 Hours (Day/Evening) **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:** * 3-5 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. * ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable. * Knowledge o
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