Nurse Case Manager

6 days ago

Charlestown, Indiana, United States Mass General Brigham Full time
Job Description

Mass General Brigham is seeking a skilled Registered Nurse to fill a Case Management position in Charlestown, Massachusetts.

Key Responsibilities
  • Assess patient health and psychosocial needs according to established guidelines.
  • Develop a case management plan in collaboration with the interdisciplinary team, patient, and family to maximize healthcare responses, quality, and cost-effective outcomes.
  • Communicate and coordinate with the interdisciplinary team, payer, and community to minimize fragmentation of services and maximize outcomes.
  • Plan and conduct patient-centered team meetings to coordinate healthcare team members and third-party payers to achieve treatment outcomes and discharge planning goals.
  • Provide education to the interdisciplinary team, patient, and family about treatment options, community resources, insurance benefits, and psychosocial concerns to ensure timely and informed decisions.
  • Empower patients and families to problem-solve and achieve desired outcomes, promoting patient self-determination.
  • Encourage the appropriate use of healthcare services and allocation of resources to improve quality of care and maintain a balance with cost-effective care on a case-by-case basis.
  • Identify and provide appropriate resources for discharge services and promote a safe transition to the next most appropriate level of care.
  • Develop a discharge plan in collaboration with the healthcare team and family that meets patient needs and financial requirements.
  • Display culturally competent care to identify patient cultural needs and incorporate them into the development of the discharge plan.
  • Provide patient education and support to ensure a smooth transition from the acute setting, through the SRN stay, and to discharge using established standards.
  • Complete documentation in adherence to department standards.
  • Adhere to third-party coverage guidelines for each patient situation.
  • Complete additional department, organization, or network activities as per established objectives.
Requirements
  • Bachelor's Degree in a related field.
  • Preferred Master's Degree in a related field.
  • Preferred 3-5 years of related experience.
  • Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing, or outpatient setting is required.
  • Health plan experience in utilization review and case management will be considered.
  • Current, unrestricted license to practice in Massachusetts in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline.
  • Knowledge of community services and the healthcare systems is required.
  • Knowledge of criteria and levels of care is required.
  • Computer proficiency is required.
  • Microsoft Office applications are preferred with the ability to learn new software.
  • Certification in Case Management is preferred.
  • Highly developed communications and interpersonal skills, working with a diverse population, are required.
  • Ability to work independently, be self-directed, and contribute as a member of a team is required.
  • Ability to anticipate challenges and develop and implement strategies for addressing them is required.
  • High level of service delivery is required.
  • Ability to prioritize work, meet deadlines, and adapt to changing situations is required.
  • Attention to detail is required.
About Mass General Brigham

Mass General Brigham is a leading healthcare organization that provides a welcoming environment to employees, patients, and families of diverse cultures, ethnic backgrounds, ages, lifestyles, and physical abilities.

Our hospitals are consistently ranked as top hospitals by U.S. World News Report.

Benefits
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Life insurance
  • Employee assistance programs

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