Job Description

Site: Mass General Brigham Community Physicians Inc.

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Join our Care Compass Clinical Team East Region! We are hiring for a RN Case Manager for per diem day shifts

The RN Case Manager serves as a core member of the care team coordinates and supports healthcare within the facility and coordinates referrals for services outside the clinic. Provides outreach and enrollment services to meet eligibility requirements of the program and surrounding counties. Ensures coordination and planning including community and family support. Focuses on the development and coordination of community service plans. Partners with service providers families and patients to create a plan of healthcare and identify additional service providers.

Primary Responsibilities:

-Client Assessments and Planning
-Modify patient treatment plans as indicated by patients responses and conditions.
-Prepare patient/family for discharge
-Communicates with third party payers to obtain necessary authorization for reimbursement of services.
-Review cases with medical directors on challenging cases as needed
-Defines care goals of patients by providing education information and direction to each individual and family
-Maintain accurate detailed reports and records.
-Communicates with third party payers to obtain necessary authorization for reimbursement of services.

Qualifications

Qualifications:

• Associates Degree Nursing require. Bachelors Degree Nursing preferred.

• Registered Nurse (RN) License for state of Massachusetts required.

• 2 years of case management utilization review or discharge planning experience preferred

Additional Knowledge Skills & Abilities:

• Giving full attention to what other people are saying taking time to understand the points being made asking questions as appropriate and not interrupting at inappropriate times.

• Using logic and reasoning to identify the strengths and weaknesses of alternative solutions conclusions or approaches to problems.

• Ability to establish strong rapport and relationships with patients and staff.

• Proficient in Microsoft Office and industry related software programs.

• Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

• Ability to maintain client and staff confidentiality.

• Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care.

• Knowledge of Healthcare and Managed Care preferred.

Additional Job Details (if applicable)

Scheduling and Working Model:

• Per Diem - Must be available up to 30 hours per week Monday through Friday between the hours of 8am-5pm ET.

• Hybrid - Primarily remote (work from home) with possible travel/onsite work at the MGH Main Campus/in the Boston area.

• Remote work requires stable secure quiet compliant workstation.

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Day (United States of America)

Pay Range

$28.20 - $68.49/Hourly

Grade

98TEMP At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

6010 Mass General Brigham Community Physicians Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework

At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.

Required Experience:

Manager

Job Tags

Hourly pay, Daily paid, Part time, Work at office, Work from home, Monday to Friday, Shift work, Day shift

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