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RN - Case Mgmt

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All Medical Personnel

2024-11-15 12:42:18

Job location Boston, Massachusetts, United States

Job type: fulltime

Job industry: Healthcare & Medical

Job description

Specialty: RN Case Management

Job Details:

Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources

Educates physicians regarding InterQual criteria, documentation of patient acuity and treatment plan and the related expectations of CMS, JCAHO, NYS DOH and other regulatory bodies.

Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs.

Responsible for integrating, facilitating and coordinating patient care for high-risk patients across the healthcare continuum.

Ensures the delivery of cost effective, outcome oriented and quality care within an appropriate LOS.

Manages patient care to prevent fragmentation and duplication of services.

Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age related needs linking cost and quality to patient care.

Requirements:

5-6 years Previous Case Management experience in an Inpatient/Acute Care Hospital Setting - Required

Experience with InterQual and Millman - Required

Experience with discharge planning - Required

Experience with all patient populations - Required

Case Management or Utilization Review Certification - Highly Preferred

MediTech - Highly preferred

Benefits

Day 1 Health benefits (Health/Vision/Dental)

Weekly Pay

Direct Deposit

Travel reimbursement

State License reimbursement

$1500 Referral bonus program

Listed pay packages are based on weekly gross amounts.

Please reference Job number: 183406

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