RN Nurse Case Manager
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Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 58656 - 142448
Posted on:
9 days ago
Vacancies:
1 Vacancy
Job Summary
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:
The RN Care Manager serves as a core member of the care team. The role 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.
Job Summary
Job Description SummaryPrimary 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.
- Review cases with medical directors on challenging cases as needed.
- Define care goals of patients by providing education information and direction to each individual and family.
-Maintain accurate detailed reports and records.
Qualifications
Qualifications:
Associates Degree Nursing or Bachelors Degree Nursing required.
Registered Nurse (RN) License required.
3 years of RN experience required.
2 years of case management home care utilization review home care and/or discharge planning experience strongly preferred.
Knowledge of Managed Care preferred.
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.
- Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care.
Additional Job Details (if applicable)
Schedule and Work Model:
- Full-time Monday through Friday approximately 8:30am-5pm
- Hybrid work model: Time at home / in the community / in office depends on patient needs. Office location is 1069 Broadway in Saugus MA.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$58656.00 - $142448.80/AnnualGrade
98TEMPEEO Statement:
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
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
