RN Case Manager (Per Diem)
Somerville, NJ - USA
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.
Job Summary
Join our Care Compass Clinical Team East Region! We are hiring for a RN Case Manager for per diem day shiftsThe RN Case Manager serves as a core member of the care team 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.
Primary Responsibilities:
-Client Assessments and Planning
-Modify patient treatment plans as indicated by patients responses and conditions.
-Prepare patient/family for discharge
-Communicates with third party payers to obtain necessary authorization for reimbursement of services.
-Review 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
-Maintain accurate detailed reports and records.
-Communicates with third party payers to obtain necessary authorization for reimbursement of services.
Qualifications
Qualifications:
Associates Degree Nursing require. Bachelors Degree Nursing preferred.
Registered Nurse (RN) License for state of Massachusetts required.
2 years of case management utilization review or discharge planning experience preferred
Additional Knowledge Skills & 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)
Scheduling and Working Model:
Per Diem - Must be available up to 30 hours per week Monday through Friday between the hours of 8am-5pm ET.
Hybrid - Primarily remote (work from home) with possible travel/onsite work at the MGH Main Campus/in the Boston area.
Remote work requires stable secure quiet compliant workstation.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$28.20 - $68.49/HourlyGrade
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.