Utilization Management/Review RN Case Manager
- Boston Children's Hospital
- | Boston, MA
$70,494 per year |
OTHER |
June 9th, 2025
-
Boston Children's Hospital -
Boston, MA
-
$70,494 per year
-
OTHER
-
June 9th, 2025
- 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)
- 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.
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