Registered Nurse, Care Management

Registered Nurse, Care Management

Boston Medical Center (BMC) is a Magnet® recognized organization and the largest trauma and safety net hospital in New England. As a registered nurse (RN), you will help us deliver exceptional and equitable care to patients, families, and the community.

RN Float Nurse Case Manager

Case Management

All Shifts

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 to obtain optimum value for both the patient and the reimbursement source.

• Graduate of an accredited ASN/BSN Program in Nursing.
• Ability to receive BSN within 4 years of hire date.

• 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 involving judgment and decision making, preferably in a utilization management/case management position.

• Extensive background and knowledge of current medical/surgical patterns of practice.
• Medical terminology and standard medical abbreviations.
• Managed care concepts, the various health care delivery systems.
• Methods for assessing an individual are level of physical/mental impairment, understanding of the physical and psychological characteristics of illness, and understanding of expected treatment.
• Confidentiality issues and the legal and ethical issues pertaining to them.
• ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable.
• Knowledge of benefits and various plan contracts, eligibility issues and requirements.
• Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care Program.
• Excellent interpersonal, verbal and written communication and negotiation skills.
• Strong analytical, data management and PC skills.

This requisition remains open on a continuous basis until all positions are filled, or the requisition is formally closed. Applicants may be considered at any time throughout this period.