Hiring for a RN Care Management role with a hospital in Boston – fully on-site position.
Pay: $56/hr
Description:
**SHIFT: 40hr Days, 4 x 10s – no set day off. Start time may vary. No major holidays. Every 6th weekend as needed.
** Req Exp: 3yrs; extensive background & knowledge of current MS patterns of practice & acute inpatient care Methods for assessing physical/mental impairment, understanding the characteristics of illness & expected tx. Knowledge of benefits, plan contracts, eligibility issues & requirements
Pref Exp: 5+yr exp w/UM & CM, EPIC
Req Certs: RN license in Massachusetts
Pref certs: CCM or related cert
Dept Details: Utilizing a collaborative process, the CM will assess, plan, implement, monitor & evaluate the options/services required to meet a pt’s health needs, using good communication & available resources to promote quality, cost effective outcomes to 18-22 pts on the Menino Campus. The CM will meet pt needs, manage the LOS & promote efficient utilization of resources. Determines medical necessity & appropriateness of admission w/InterQual screening & inpt list from Medicare.