Transition of Care RN Case Manager Part-Time

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.

The Opportunity

As an integral member of the Population Health Management Operations team the Transitions of Care RN will support Medicaid ACO patients as they transition from an inpatient hospital stay to their homes by completing post-discharge assessments.

Job Summary

Primary Responsibilities:

- Client Assessments and Planning.
- Modify patient treatment plans as indicated by patients responses and conditions.
- Prepare patient/family for discharge.
- Communicate with third party payers to obtain necessary authorization for reimbursement of services.
-Define 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.
- Review cases with medical directors on challenging cases as needed.

What Youll Bring

Requirements:

- Associates Degree Nursing (ADN) or Bachelors Degree Nursing (BSN)

- Active and unrestricted RN Licensure

- Care Management and/or Home Care background

- 2 years of experience in case management utilization review and/or discharge planning

Preferences:

- 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.

Additional 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.

Schedule and Work Model:

- Part time (20 hours per week) with a rotating schedule of Saturday/Sunday/Monday and then Sunday/Monday/Tuesday. Hours worked per day are flexible; 20 hours total over three days.

- Fully remote / work from home. Must use a stable secure and compliant workstation in a quiet environment. Teams Video is required and must be accessed using MGB-provided equipment.

Remote

399 Revolution Drive

20

Regular

Day (United States of America)

Pay Range

$58656.00 - $142448.80/Annual

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.

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 .

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