Registered Nurse Case Manager

1 week ago


MA United States Mass General Brigham Full time
Job Title: Registered Nurse Case Manager

Mass General Brigham is seeking a skilled Registered Nurse (RN) to fill the role of Case Manager. This position will be responsible for coordinating care, from admission through discharge, with a focus on realistic treatment outcomes within the scope of available resources.

Key Responsibilities:
  • Assess the patient's health and psychosocial needs, conducting evaluations per established guidelines.
  • Develop a case management plan collaboratively with the interdisciplinary team, patient, and family to maximize healthcare responses, quality, and cost-effective outcomes.
  • Communicate and coordinate with members of the interdisciplinary team, payers, and community to minimize fragmentation of services and maximize outcomes.
  • 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.
  • Ensure 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 resources for discharge services, promoting a safe transition to the next most appropriate level of care.
  • Develop a discharge plan in collaboration with the healthcare team and family, meeting patient needs and financial requirements.
  • Provide culturally competent care, identifying patient cultural needs and incorporating them into the development of the discharge plan.
  • Document care in adherence to department standards.
  • Adhere to third-party coverage guidelines for each patient situation.
Qualifications and Experience:
  • Bachelor's degree in a related field.
  • Preferred: Master's degree in a related field.
  • 3-5 years of related experience, including case management, utilization review, or discharge planning in an acute, rehabilitation, skilled nursing, or outpatient setting.
  • 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.
  • Certification in Case Management preferred.
About Mass General Brigham:

Mass General Brigham is a leading healthcare system in the United States, providing high-quality, safe, and accessible care to patients and communities. We are committed to innovation, collaboration, accountability, respect, and excellence in all aspects of our work.

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


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