RN Case Manager​/xShifts​/6th Weekend

Position Summary

Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost‑effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are used in a timely and cost‑effective manner to obtain optimum value for both the patient and the reimbursement source.

This role is dedicated to handling increased volume and supporting the overall care management process and department. Position: RN Case Manager.

• Graduate of an accredited ASN/BSN Program in Nursing.
• Licensed to practice as a Registered Nurse in the Commonwealth of Massachusetts.
• CCM or related certification attained within 24 months from hire date is preferred.
• BSN preferred; MA RN license required.
• Minimum of 3–5 years recent clinical experience.
• Minimum of 1–3 years recent acute inpatient Care Management experience.
• Strong communication, collaboration, and problem‑solving skills.
• Knowledge of utilization review, discharge planning, managed care, and community resources.
• Extensive background and knowledge of current medical/surgical patterns of practice, medical terminology, and standard medical abbreviations.
• Understanding of managed care concepts and various health care delivery systems.
• Ability to assess individuals based on level of physical/mental impairment and expected treatment.
• Knowledge of confidentiality issues and legal and ethical considerations.
• Proficiency with ICD‑9 and CPT nomenclature and ability to interpret and convert this information.
• Knowledge of benefits and various plan contracts, eligibility issues, and requirements.
• Role and functional responsibilities of a case management professional; understanding of case management program philosophy and purpose within a Managed Care Program.
• Excellent interpersonal, verbal, written communication, and negotiation skills.
• Strong analytical, data management, and PC skills.

Compensation Range: $38.05–$75.33 per hour. This range offers an estimate based on the minimum job qualifications. Our approach to determining base pay is comprehensive and considers a broad range of factors when making an offer, including education, experience, and licensure/certifications directly related to position requirements. BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, flexible spending accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression, or any other non‑job‑related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please email Talent acquisition or call 617‑638‑8582.

BMC requires all staff to be vaccinated against COVID‑19 and flu, as well as receive a booster dose of the COVID‑19 vaccine.