Registered Nurse Case Manager
1 week ago
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.
- 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.
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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