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.
  • 3-5 years of diversified clinical experience.
  • A minimum of 2 years of previous experience in utilization management/case management.

Nice To Haves

  • CCM or related certification attained within 24 months from the hire date.
  • Ability to obtain BSN within 4 years.

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.

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What This Job Offers

Job Type

Part-time

Industry

Hospitals

Education Level

Bachelor's degree

Number of Employees

1,001-5,000 employees

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