Utilization Management RN
Boston, MA - 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
Per Diem OpportunitySummary
Responsible for coordinating the complex care needs of patients and is the primary patient contact for service access diagnostics treatment activities schedules patient and family education and multidisciplinary collaboration.
Does this position require Patient Care
Yes
Essential Functions
-In collaboration with the interdisciplinary team help create a tailored health care plan for assigned patients.
-Develop an individualized plan with the MD for appropriate services for the patient.
-Reports pertinent observations and reactions regarding clients to the appropriate person (i.e. primary care provider social worker or Director).
-Assesses and coordinates patients discharge planning needs with members of the healthcare team.
-Resolves patient problems and needs by utilizing multidisciplinary team strategies.
-Educates patients regarding how to navigate throughout the health system.
Qualifications
Education
Bachelors Degree Nursing required or Masters Degree Nursing preferred
Can this role accept experience in lieu of a degree
No
Licenses and Credentials
MA Registered Nurse License required
Experience
Experience in an acute care setting and/or provider practice and/or experience in a community-based role or with discharge/transitional planning background 2-3 years preferred
Knowledge Skills and Abilities
- Strong attention to detail and organization.
- Strong cultural awareness competencies.
- Proficiency in Microsoft Office.
- Maintains good communication skills.
- Readily adapts to change and welcomes new approaches when circumstances demand it.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$41.72 - $105.65/HourlyGrade
GHCARN055EEO Statement:
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.
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.