RN Care Coordinator, ICU, Full Time

Boston Medical Center•Brighton, MA

2d•Onsite

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

Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts.
A minimum of 3-5 years recent clinical experience.
A minimum of 1-3 years recent acute inpatient Care Management experience.
Strong communication, collaboration, and problem-solving skills.
Knowledge of utilization review, discharge planning, managed care, and community resources.
Extensive background and knowledge of current medical/surgical patterns of practice.
Knowledge of medical terminology and standard medical abbreviations.
Knowledge of managed care concepts and various health care delivery systems.
Understanding of methods for assessing an individual's level of physical/mental impairment.
Understanding of the physical and psychological characteristics of illness.
Understanding of expected treatment.
Knowledge of confidentiality issues and the legal and ethical issues pertaining to them.
Ability to interpret and convert ICD-9 and CPT nomenclature, as applicable.
Knowledge of benefits and various plan contracts, eligibility issues and requirements.
Understanding of the role and functional responsibilities of a case management professional.
Understanding of case management program philosophy and purpose within a Managed Care Program.
Excellent interpersonal, verbal and written communication and negotiations skills.
Strong analytical, data management and PC skills.
Ability to obtain BSN within 4 years.

Nice To Haves

BSN (preferred)
Certified Case manager (CCM) or related certification preferred.

Responsibilities

Assess, plan, implement, monitor, and evaluate options and services to meet individual health needs.
Use communication and available resources to promote quality, cost-effective outcomes.
Identify appropriate providers and facilities throughout the continuum of services.
Ensure available resources are used in a timely and cost-effective manner.
Handle increased volume and support the overall care management process and department.