Complex Care Manager RN (20 Hours)

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

Care Compass is a new transformative program. This integrated regional team-based model is designed to manage and coordinate care for Mass General Brighams 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.

What Youll Bring

Education:

- Associates Degree Nursing required

- Bachelors 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

- Ability to speak Spanish for certain primary care practices 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.

Schedule and Work Model

• 20 hours per week

• Hybrid - Time split between home and Brigham and Womens Faulkner Hospital in Jamaica Plain MA

Hybrid

1153 Centre Street

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.

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 .

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