Utilizing a collaborative process, the CM will assess, plan, implement, monitor & evaluate the options/services required to meet a patients 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 patients needs, manage the LOS & promote efficient utilization of resources. Determines medical necessity & appropriateness of admission w/InterQual screening & inpt list from Medicare.

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: BSN,
Pref certs: CCM or related cert

**SHIFT: 40hr Days, ten hour days and every 6th weekend.

$RN #RN Case Manager #CM #Case Management #Case Manager #Care Management #Care Manager #Utilization Review Nurse #Utilization Management Nurse # CCM #BLS #ACLS #PALS

DN01

Job Types: Full-time, Contract

Pay: $46.64 - $65.00 per hour

Schedule:

• Day shift

Experience:

• Recent clinical case management: 3 years (Preferred)
• Utilization management: 3 years (Preferred)
• registered nurse: 3 years (Preferred)

License/Certification:

• RN License (Preferred)
• Certified Clinical Manager (Preferred)

Ability to Commute:

• Boston, MA 02118 (Preferred)

Ability to Relocate:

• Boston, MA 02118: Relocate before starting work (Preferred)

Work Location: In person