(Archived) RN Manager of Case Management

Position: RN Manager of Case Management
Location: Acton, MA (Boston area)
Shift: Full-time / Direct Hire / Permanent

Job Description: Responsible for total operations of Workers Compensation Case Management and Utilization Review service units which may include one or more of the following functions: staff management, operations, financial performance (profit and loss), customer service, and sales management.

Job Duties:

• Responsible for financial operations, including, but not limited to: productivity, profitability,
• Expense management, budgeting, billing, collections and day to day operations.
• Responsible for quality of service provided.
• Will support and participate in the new business development, marketing, sales and account management processes.
• Responsible for human resources matters.
• Must be able to travel overnight and attend meetings on occasion.
• Requires regular and consistent attendance.
• Comply with all safety rules and regulations during work hours in conjunction with the Injury Illness Prevention Program (“IIPP”).
• May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses.
• Payment of bills may be delegated to a clerical person, with final approval by manager.
• Certain reports may not need review prior to submission.
• May be required to perform the following: Oversee case management clinical activities and/or may perform case management responsibilities.
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Requirements:

• Graduate of accredited school of nursing: required / Masters degree in business, health care, vocational rehabilitation, nursing, or other degrees related to a managed care organization: preferred
• Current RN license in Massachusetts: required
• 3+ or more years of recent clinical experience: required / Rehabilitation: preferred
• National certification including CRC, CIRS, CCRN, CVE,CCM etc: required / CCM: preferred
• Must have technical knowledge of managed care and workers compensation law, policies, and procedures in defined territory: required
• Must have demonstrated past experience in management or supervision: required
• Management experience in local territory is preferred
• Must have good computer and analytical skills
• Previous experience in the following areas is beneficial: Prospective, concurrent and retrospective utilization review / experience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics / Knowledge of worker's compensation claims / Outpatient utilization review.

For immediate consideration please create a profile and submit your resume through our applicant tracking system. Applications with attached resumes will be given first consideration. Visit us online at [Register to View] to learn more about our company and to view additional openings in your area.

About Us: All Medical Personnel is a national leader in healthcare staffing and recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our team of seasoned recruiters are experienced in their ability to recruit, screen and place medical professionals for all types of healthcare settings.