Field Case Management RN

Location: Boston, MA
Date Posted: 11-01-2018
Field Geriatric Case Management RN - Managed Care
Boston, MA
* Offers variable mix of In-Office Telephonic & Field Case Management, traveling to member homes & provider facilities *
** Great for nurses who love variety and area travel in Boston & Suffolk County
 (mileage reimbursed)!! **
*** This is a Full-Time, Benefits Available, CONTRACT-TO-HIRE opportunity, expected to convert into a PERMANENT role after an established timeframe! **
Case Manager Job Summary:
  • The RN Case Manager will be responsible for the development of patient focused care delivery plans, along with coordinating, monitoring and evaluating the execution of the plans. 
  • The Case Manager will facilitate cost effective and quality patient care.
  • The Case Manager will act as a patient advocate and navigator by facilitating continuity of patient care and care transitions with external healthcare organizations and facilities. 
  • The Case Manager will also promote clear communication among the care team and treating clinicians by ensuring awareness regarding patient care plans.
  • The Case Manager will monitor the delivery of care by documenting care, identifying progress toward desired care outcomes and intervening to overcome deviations from the plan. 
  • They will assist staff in maintaining balance between the needs of the patient, physician(s) and contracted health plan.
  • The position will assist with data collection, health outcomes reporting and clinical audits.
  • The coordinator is also responsible for monitoring utilization and, if necessary, discuss utilization of services with provider and recommending alternative options when appropriate.
  •  Develops and executes interdisciplinary care delivery plans by facilitating continuity of care and managing care transitions with external entities/physicians.
  • Communicates care plans to care team members, facilitates scheduling procedures and/or appointments and implements organizational standards of care.
  • Monitors delivery of patient care by documenting care, verifying findings and reports, identifying progress or deviation from the plan, intervening to overcome deviation in the plan, and communicating regular updates to the appropriate caregivers.
  • Assists with data collection and evaluates outcomes of care and intervention effectiveness. 
  • Works with care delivery team to recommend changes to improve the quality of care while being cost effective.  
Case Manager Background: 
  • Valid, unrestricted state Registered Nurse (R.N.) license. 
  • Bachelor’s degree or an equivalent combination of education, training and experience is required.
  • Master’s degree in nursing, geriatric NP, or health related/public health field preferred.
  • Certification in Case Management (CCM) is preferred.
  • 2-4 years acute care clinical nursing experience.
  • Requires 3 years’ experience in Medical Case Management working with the geriatric population.
    Prefer around 1-3 years prior experience at a local Managed Care Organization is preferred (Health Plan, IPA, MSO, TPA, etc) or prior exposure to completing MDS assessments, home care case management, or ASAPs (Aging Services Access Points).
  • Experience working with Federal and State assistance programs (Medicare/Medicaid/etc) preferred
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Must be comfortable seeing members in their homes, hospice, long term care (LTC) and assisted living facilities
  • FIELD POSITION: Must be willing and able to travel throughout the assigned area (mileage reimbursed). 
  • Bilingual in English and one of the following: Spanish, Haitian Creole, Spanish Creole, French Creole, other is a plus
Erik Berg
443.470.8240 (CALL – TEXT – FAX)
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