Case Manager RN - Per Diem

Medical Care of Boston Management Corporation(27 days ago)

OnsitePart TimeMedior$72,000 - $158,240Case Management

About this role

A Case Manager at Beth Israel Lahey Health coordinates care for patients, caregivers, and families, ensuring appropriate utilization and regulatory compliance. The role focuses on assessment, prevention of denials, and coordinating safe discharge plans with the care team, insurers, and continuing care agencies.

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Required Skills

Care Coordination
Concurrent Review
Retrospective Review
Utilization Management
Discharge Planning
Regulatory Compliance
Patient Assessment
Insurance Coordination

Qualifications

Graduate of an Accredited School of Nursing
BSN Preferred
Massachusetts RN Licensure
Case Management Certification Preferred

About Medical Care of Boston Management Corporation

cms.gov

The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that administers the nation's major healthcare programs, including Medicare and Medicaid. CMS is responsible for overseeing the healthcare system in the United States, ensuring access to high-quality healthcare services and improving health outcomes for its beneficiaries. Through its initiatives and regulations, CMS aims to provide a more transparent healthcare system and reduce costs while enhancing care delivery across the nation.

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