RN Care Manager
Boston, MA
PRIDE Health
5x8 hrs, Days
Referral Bonus

RN - Care Management

Location: Boston, Massachusetts
Employment Type: Temporary
Contract Length: 12 weeks
Schedule:

• 4 days per week, 10-hour day shifts (AM)
• 40 hours per week
• Every 6th weekend as needed
• No major holidays required

Job Description

• Manage a caseload of 18-22 patients in an acute inpatient care setting.
• Collaborate to assess, plan, implement, monitor, and evaluate patient care options and services.
• Utilize communication and available resources to promote quality, cost-effective outcomes.
• Manage length of stay and promote efficient utilization of resources.
• Determine medical necessity and appropriateness of admission using InterQual screening and Medicare inpatient lists.
• Apply extensive knowledge of current medical-surgical patterns of practice and acute inpatient care.
• Assess physical and mental impairments, understand illness characteristics, and expected treatments.
• Understand benefits, plan contracts, eligibility issues, and requirements related to care management.

Required Qualifications

• Valid RN license in Massachusetts
• Minimum 3 years of case management experience, including experience within the last year
• Bachelor of Science in Nursing (BSN)
• Knowledge of plan contracts, eligibility issues, and care management requirements
• Medical-surgical nursing experience