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.
Care Compass is a new, transformative program. This integrated, regional, team-based model is designed to manage and coordinate care for Mass General Brigham’s high risk primary care patients. The Complex Care Manager RN serves as a core member of the care team. The RN coordinates and supports healthcare within the facility, and coordinates 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.
- Client assessments and planning.
- 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 patient care goals.
Qualifications
What You'll Bring
Education:
- Associate's Degree Nursing required
- Bachelor's Degree Nursing (BSN) preferred
Licenses and Credentials:
- Active Registered Nurse (RN) Licensure for the state of Massachusetts required
Experience:
- 2+ years of ambulatory care, practice based case management, primary care case management and/or specialty case management experience required
- Home care experience strongly preferred
- Hospital case management and/or or discharge planning experience preferred
- Experience using EPIC preferred
- Experience working at a primary care practice preferred
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)
Working Model & Location Details:
- Full-time (40 hours) Monday through Friday 8am-4:30pm or 8:30am-5pm
- Hybrid work model (~1-2 days in clinic, ~2-3 days in field, ~1 day at home)
- Located at one of the following clinics:
- FCA Family Care Associates / Longwood; or
- BCMA in Brookline; or
- Westwood/Norwood; or
- Phyllis Jen Center - 45 Francis Street
Remote Type
Hybrid
Work Location
399 Revolution Drive
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
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