4W/PACU/Yaw 6 ICU Nurse Case Manager, 40 Hours (Days / 4x10 Hour Shifts / Every 6th Weekend)

BMC Software • Boston, MA

100d

About The Position

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.

Requirements

• Graduate of an accredited ASN/BSN Program in Nursing.
• 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.
• 3-5 years of diversified clinical experience is required.
• A minimum of 2 years of previous experience in utilization management/case management.

Nice To Haves

• Extensive background and knowledge of current medical/surgical patterns of practice.
• Knowledge of managed care concepts and health care delivery systems.
• Familiarity with ICD-9 and CPT nomenclature.

Responsibilities

• Assess, plan, implement, monitor, and evaluate health needs of individuals.
• Identify appropriate providers and facilities for patient care.
• Ensure timely and cost-effective use of resources.
• Support the overall care management process and department.

Benefits

• Equal Opportunity Employer/Disabled/Veterans.
• Recognition as a top employer and best place to work.
• Support for staff and a strong sense of teamwork.

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees