GQR Healthcare Boston, MA , Suffolk County, MA
Posted 2 days ago
Job Title: Registered Nurse Case Manager • Day Shift Job Description:
Our client is seeking a dedicated Registered Nurse Case Manager to join their team. The ideal candidate will have a strong background in case management and acute inpatient care, with a deep understanding of illness characteristics and treatment expectations. This role requires excellent communication skills and the ability to efficiently utilize resources to promote quality, cost•effective outcomes.
Responsibilities: • Work a 40•hour week, with shifts from 7:30 am – 5:30 pm. Start times may vary. No major holidays required. • Provide coverage every 6th weekend as needed. • Assess, plan, implement, monitor, and evaluate the options and services required to meet a patient's health needs. • Manage the length of stay and promote efficient utilization of resources. • Determine medical necessity and appropriateness of admission with InterQual screening and inpatient list from Medicare.
Requirements: • Minimum of 3 years of experience in case management, with a strong understanding of current MS patterns of practice. • Knowledge of benefits, plan contracts, eligibility issues, and requirements. • BSN certification is required. • Preferred: 5 years of experience with UM & CM, Epic. • Preferred: CCM or related certification. Join our client's team and contribute to providing top•notch healthcare services to their patients.
GQR Healthcare