What are the responsibilities and job description for the RN Nurse Care Manager position at 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.
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.
Qualifications
What You'll Bring
Education:
- Associate's Degree Nursing required
- Bachelor's 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
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.
- Knowledge of Healthcare and Managed Care preferred.
Additional Job Details (if applicable)
Working Model & Location Details:
- Full-time Monday through Friday 8am-4:30pm or 8:30am-5pm
- Hybrid work model (approximately 1-2 days in clinic in Jamaica Plain, MA; approximately 2-3 days in the field; approximately 1 day at home)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
Grade
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 package. In 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.
EEO 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.
Salary : $58,656 - $142,449