This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
American Traveler is hiring an experienced RN Case Manager for a Utilization Review/Care Management role requiring 3+ years of case management experience and a BSN.
Requirements
Active MA RN license required at time of consideration
BSN required
3+ years of case management experience with extensive background in current multi-system patterns of practice and acute inpatient care
Knowledge of methods for assessing physical and mental impairment and understanding illness characteristics and expected treatment
Knowledge of benefits, plan contracts, eligibility issues, and requirements
5+ years of UM and CM experience preferred
Epic EMR experience preferred
CCM or related certification preferred
Responsibilities
Care Management department at the Menino Campus
Manages a caseload of 18-22 patients
Utilizes InterQual screening and Medicare inpatient lists to determine medical necessity and appropriateness of admissions
4x10-hour AM shift schedule with no set day off
Every 6th weekend required as needed
No major holiday coverage required
Must be willing to float as needed per unit needs
Utilize a collaborative process to assess, plan, implement, monitor, and evaluate services required to meet patient health needs
Manage length of stay and promote efficient, cost-effective utilization of resources
Two professional references required, including one at the manager level with a performance evaluation completed within the past 12 months
References cannot be provided by another traveler
Local candidates within 50 miles of the facility are accepted
Benefits
High Pay and Bonuses
Medical, Dental and Vision Insurance with Day 1 Options
401(k) Plan
Weekly Payroll Deposit
Free Online CEUs
Job ID: P-
Open Positions: 2
#J-18808-Ljbffr
Worksite address
boston, MA, 02298, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.