Diabetes Nurse Case Manager

Site: Mass General Brigham Health Plan Holding Company 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.

Job Summary

Given equity this position will pay somewhere between $90000 to $110000 annually.

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham we are at the forefront of transformation with one of the worlds leading integrated healthcare systems. Together we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds experiences and skills.

We are pleased to offer competitive salaries and a benefits package with flexible work options career growth opportunities and much more.

The Diabetes Care Manager will be the bridge between patients healthcare providers and community resources. The Diabetes Nurse Care Manager will reduce diabetes-related hospital and ED visits improve medication adherence and help patients gain confidence in managing their condition. Youll be a trusted advocate educator and problem-solvermaking a measurable difference in the lives of those living with diabetes.

Essential Functions:
Assesses members/patients medical behavioral and social health
Defines care goals of patients by providing education information and direction to each individual and family
Develop and implement individualized diabetes management and care plans in collaboration with patients and their healthcare providers.
Modify patient care plans as indicated by patients responses and conditions.
Educate patients and families on proper use of medication and lifestyle adjustments as needed.
Conduct regular follow-upsvia phone telehealth monitor medication adherence nutrition and physical activity and A1c.
Review cases with medical directors on challenging cases as needed
Maintain accurate detailed reports and records.
Work with members who have had a recent hospitalization or ED visit to reduce the risk of readmission
Collaborate with other health care professionals that are part of the members health care team. You may work with multidisciplinary staff including; behavioral health care managers dietitians and social care managers endocrinologists and primary care providers.
Track patient progress using electronic health records (EHR) and report on outcomes to improve care strategies.

Education

• Associates Degree Nursing required
• Bachelors Degree Nursing preferred

Licenses and Credentials

• Massachusetts Registered Nurse (RN) license required
• Basic Life Support (BLS) certification required
• CDCES Certification highly preferred

Experience

• At least 2-3 years of case management utilization review or discharge planning experience preferred
• Experience in chronic disease management ideally diabetes highly preferred
• Pediatric experience a plus

Knowledge Skills and Abilities

• Strong patient education and motivational interviewing skills.

• Familiarity with care plan creation and documentation in EMR.

• Ability to work collaboratively with diverse teams and populations.
• 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.

Working Conditions

• This is a hybrid role that requires an on-site presence at the office in Assembly Row Somerville roughly once per quarter
• This is a full-time role with a Monday through Friday schedule generally 8:30-5:00 PM Eastern Time
• Remote workspace requirements including privacy and security standards may be verified in accordance with organizational policy

Given equity this position will pay somewhere between $90000 to $110000 annually.

Hybrid

399 Revolution Drive

40

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.

8925 Mass General Brigham Health Plan Holding Company 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 .