Per Diem RN Case Manager, Utilization Management/Review at Boston Children's Hospital summary:
The Per Diem RN Case Manager is responsible for managing daily clinical operations of care coordination and transitions, addressing the complex health needs of patients and families. This role requires collaboration with healthcare teams, integrating regulatory requirements, and optimizing resource allocation for service delivery. Candidates must possess a BSN, with prior nursing experience and a preference for case management certification.
The Per Diem RN Case Manager (inpatient and/or ambulatory) will be responsible for:
- Assessing, planning, organizing and overseeing daily clinical operations of care coordination and transitions to address the comprehensive and complex health needs of the patient and family.
- Possessing knowledge of community health services, payer systems and post-acute care needs for outpatient and inpatient patients and families.
- Collaborative work with clinic teams and inpatient case managers.
- Demonstrating the ability to integrate regulatory requirements, length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services.
- Actively participating in departmental and multidisciplinary programs, committees and special projects.
- Working M-F days as needed (including up to 3 weekends per year)
To qualify, you must have: - A BSN; Master's in a related Healthcare field preferred.
- A minimum of 5 years nursing experience required, pediatrics preferred.
- A certification as a Certified Case Manager is preferred, if not must obtain within the first two years of employment.
- Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.