RN Nurse Care Manager
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
- 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.
Requirements
- Associate's Degree Nursing required
- Bachelor's Degree Nursing (BSN) preferred
- Active Registered Nurse (RN) Licensure for the state of Massachusetts required
- 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
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
- Recognition programs
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
patient assessmentstreatment planningcase managementambulatory caredischarge planninghome careprimary carespecialty case managementcommunication with third party payersmodification of treatment plans
Soft Skills
coordinationplanningcommunity supportfamily supportpartnershipgoal settingcommunication
Certifications
Associate's Degree NursingBachelor's Degree Nursing (BSN)Registered Nurse (RN) Licensure