Company
RNCareManager,EmergencyDepartment,30Hours(Day/Evening)
“RN Care Manager, Emergency Department, 30 Hours (Day/Evening). Skills: care management, RN, Emergency Department. 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”
What You'll Achieve.
promote quality, cost-effective outcomes; obtain optimum value for both the patient and the reimbursement source
Industry & Context.
judgment and decision making; analytical, data management and PC skills
every 6th weekend, mix of day 7a-530p and 11a-930p
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, Nursing degree: Diploma, ASN or BSN, 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 of benefits and various plan contracts, eligibility issues and requirements., Role and functional responsibilities of case management case management program philosophy and purpose within Managed Care Program
Nice to Have
BSN, CCM or related certification attained within 24 months from the hire date is preferred, ED experience preferred
What You'll Do.
Utilizing a collaborative process
the care manager will assess
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.
How You'll Work.
Team & Collaboration
Utilizing a collaborative process
Communication Scope
Excellent interpersonal, verbal and written communication and negotiations skills
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