Registered Nurse Complex Care Manager RN
Mass General BrighamAbout the role
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.
The Care Manager serves as a core member of the care team and is responsible for coordinating and supporting healthcare within the facility, and coordinating referrals for services outside the clinic.
Job Summary
Primary Responsibilities- 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.
-Modifies patient treatment plans as indicated by patients' responses and conditions.
-Prepares patient/family for discharge.
-Communicates with third party payers to obtain necessary authorization for reimbursement of services.
-Reviews 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.
-Maintains accurate, detailed reports and records.
-Communicates with third party payers to obtain necessary authorization for reimbursement of services.
Qualifications
What You'll Bring
Required
Associate's Degree Nursing required. Bachelor's Degree Nursing preferred.
Registered Nurse (RN) licensure for the state of New Hampshire and Maine required.
Preferred
2+ years of case management, utilization review, or discharge planning experience
Knowledge, Skills and 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)
Schedule and Working Model
- Full time Monday through Friday standard ET business hours
- Hybrid - 4 days/week seeing patients in practice and in the field in South Berwick, ME and Portsmouth, NH. 1 day/week working from home.
Remote Type
Hybrid
Work Location
31 Colcord Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$58,656.00 - $142,448.80/Annual
Grade
98TEMP
EEO Statement:
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