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Job Details

Case Manager

Category: Registered Nurse
Cambridge, MA

Department: Case Management
Employment Type: Part Time
Job Type: Union
Union Name: TCH MNA-TCH Mass Nurses Assoc
Work Shift: Days with Evening Hours
Work Days: 27 hpw 11am-8:30pm, e/o weekend and holidays as assigned
Hours/Week: 27
Date Posted: 08/11/2017
Requisition Number: hrq-67683

Job Details

  • RN Required
  • The Cambridge Hospital Nursing staff provides care with an emphasis on culturally sensitive, evidence based nursing practice. This dynamic role of the RN Case Manager in the Emergency Department is to assist the Emergency Department in effective throughput and workflow.
    Responsibilities include screening patients for medical necessity, level of care and admission status. Will contact insurance companies to assess coverage and the need for authorization for admission and post discharge care when indicated.  Will be responsible for readmission reduction strategies and will review patient information for clinical documentationof level of care, compliant with CMS requirements related to the IPPS Rule. In this role they will provide real time Utilization Review and Discharge Planning. In addition this position requires the strong ability to work effectively with patients with substance abuse and behavioral health conditions requiring assistance  across the continuum of care

    Job Details
    - Bachelors in Nursing (BSN)
    - Current RN Licensure Required
    - Certifications: Case Management certification preferred AHA BLS required
    - Computer proficiency, excellent oral and written communication skills, and demonstrated negotiation skills are needed

    Work Experience
    - Minimum 5 years previous case management experience preferred and or minimum 5 years ED experience


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