Nurse Case Manager

2 weeks ago


Waltham, Massachusetts, United States Mass General Brigham Full time
Job Summary

Mass General Brigham is seeking a skilled Registered Nurse (RN) to fill a Case Management position in Waltham, Massachusetts. As a key member of our healthcare team, you will play a vital role in facilitating patient care transitions and ensuring seamless coordination of post-acute services.

Key Responsibilities
  • Develop and implement discharge plans for patients requiring post-acute care or follow-up services
  • Collaborate with patients, healthcare teams, insurers, and community organizations to ensure comprehensive care coordination
  • Utilize nationally accepted criteria to determine medical necessity of admissions and appropriate level of care
  • Review patient health records and communicate with healthcare teams to ensure continued appropriate level of care
  • Complete timely and accurate insurance reviews as requested by third-party payers
Requirements
  • Graduate of an accredited school of nursing
  • CCM or ACMA certification preferred
  • Prior experience in general acute care hospital experience, healthcare reimbursement, quality improvement, and enhanced models of healthcare delivery
  • Previous acute care hospital care coordination/discharge planning required
What We Offer
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment

Join our team of dedicated healthcare professionals and contribute to delivering exceptional patient care at Mass General Brigham.


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