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Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. POSITION SUMMARY: The Boston Medical Center Geriatric Services, Home Care Program provides primary medical care and intensive nursing case management to homebound frail elders living within the City of Boston. The Nurse Care Manager position is a unique one requiring a variety of nursing skills in order to effectively provide nursing case management for a panel of complex, high risk, nursing home level older adults. Performs a variety of high-level patient care management services through the development and use of nursing practice standards.Activities may include admission assessment, history and physical, screening for appropriateness, standards assignment and monitoring, development of plan to address physical and psychosocial needs, review of critical path progress, coordination services and discharge planning, and patient/family education.The Geriatric Nurse Care Manager assists in the development, implementation, evaluation and revision of the case management program.Ensures that desired patient outcomes are achieved and that variances from established parameters are evaluated and addressed as necessary. Position: Nurse Care Manager Department: Geriatrics Schedule: M-F Days 40 hours ESSENTIAL RESPONSIBILITIES / DUTIES:
Participates in the development, implementation, evaluation and revision of the case management program in Geriatrics. Delivers direct patient care via home visits and/or hospital visits, as required. Utilizes telephone triage to evaluate patient care issues.Identifies actual and/orpotential illness or change in condition which may impact the care plan.Makes recommendations to address identified problems. Provides proven methodologies and recommendations for successful implementation of the action plan.Implements an action plan which may include: care coordination to support delivery of medical, psychosocial care and associated care plans, activities of daily living, legal, financial management, etc. education regarding the health care delivery and reimbursement systems, prescription drug cost management, health & wellness programs, long term care insurance, health care proxy, asset and legal management, government, community agencies, public & private organizations, hiring through private entities, etc. advocacy, to include writing appeals, to ensure the elders safety, physical, legal & financial well-being, to support their care-giving & quality of life goals, navigate the healthcare delivery system, obtain third party reimbursement for covered goods and services, etc. assessment and monitoring of care being delivered to the elder and provision of recommendations to the elder and/or their representative regarding the advisability of the need to modify care, the care plan, providers and/or vendors, as necessary and appropriate consultation and/or conferencing with the elder & their formal, informal caregivers, family, significant others, representatives to assess issues, consolidate information, coordinate planning and care delivery with and for the elder assistance with selection and transitioning the elder from one environment to another
Patient Education
Communicates with patients, their representative and/or providers to effectively implement plans and provide updates regarding ongoing eldercare care management issues and services. Facilitates problem solving and decision-making by providing guidance and support to the patient, family members, acute care providers and community health care provider around the prognosis and course of care in the acute care and community setting.
Care Management & Administration
Collaborates with administration, physicians and other colleagues in Geriatrics and Medicine to develop, revise and update critical paths as well as support the development of DRG specific standards. Evaluates available financial variance and quality improvement data to determine the appropriate areas of focus for the case management program.Assists in the development and monitoring offinancial goals for targeted case managed patients.Assists in the planning and implementation of strategies to optimize reimbursement of services. Develops professional relationships with the community through effective networking and professional service which fosters a positive public image for the Geriatric Service and Boston Medical Center. Contributes to the education of nursing students and other health care disciplines with primary focus on geriatric nursing and case manager role. Expands geriatric practice base by utilizing, demonstrating, and conducting nursing research to maximize high quality, cost effective patient outcomes.Performs ongoing evaluation of case management program outcomes and identifies opportunities for improvement.
Professional Development
Identifies own learning needs and assumes responsibility for maintaining current knowledge, competency, and expertise in area of specialty. Completes annual mandatory educational requirements, departmental/specialty competencies, and maintains appropriate credential status. Participates as a committee member and/or chair when requested by geriatric management team.
General:
Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided. Utilizes hospital's behavioral standards as the basis for decision making and to support the department's and the hospital's goals. Follows established hospital infection control and safety procedures. Performs other duties as needed.
JOB REQUIREMENTS EDUCATION: BSN CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Must have active or pending Massachusetts Registered Nurse (RN) license or the ability to obtain one EXPERIENCE: 5 years of experience as an RN functioning in a model of care delivery system that included care management. Experience working with Geriatric patients KNOWLEDGE AND SKILLS:
strong clinical nursing knowledge and skills specific geriatrics nursing knowledge and skills keen telephone triaging skills to evaluate episodic acute and chronic clinical issues with critical reasoning and astute clinical judgment to expedite appropriate care given the complexity of our homebound, high risk population knowledge of community resources knowledge of managed care insurance programs ability and willingness to make home visits to provide direct patient care as needed strong communication skills working w/ patients, families and caregivers as well as an interdisciplinary team w/in BMC. ability to develop professional relationships w/ various community providers ability to multitask and be organized confidence to facilitate problem solving and decision-making confidence and ability to lead a clinical team
Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
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Boston Medical Center
Jul 16, 2025