RN Case Manager – Dual Eligible Special Needs Plan (D-SNP)
Mass General Brigham
full-time
Posted on:
Location Type: Hybrid
Location: Somerville • Massachusetts • United States
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Salary
💰 $58,656 - $142,448 per year
About the role
- Conduct 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.
- Define care goals of patients by providing education, information, and direction to each individual and family.
- Review cases with medical directors on challenging cases as needed.
- Maintain accurate, detailed reports and records.
Requirements
- Associate's Degree Nursing required (Bachelor's Degree Nursing preferred)
- Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required
- 2+ years of case management and/or discharge planning required
- Experience working with complex dually eligible populations required
- Knowledge of Managed Care preferred
- Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred
- Utilization Review experience preferred
Benefits
- comprehensive benefits
- career advancement opportunities
- differentials
- premiums
- bonuses as applicable
- recognition programs designed to celebrate your contributions and support your professional growth
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementdischarge planningutilization reviewpatient assessmenttreatment planningpatient educationrecord keepingdiagnostic criteriacontinuum of care
Soft Skills
communicationinterpersonal skillsorganizational skills
Certifications
Registered Nurse (RN) LicensureAssociate's Degree NursingBachelor's Degree Nursing