Nursing Case Manager Associate Professional

2 weeks ago


Brighton, United States Mass General Brigham Full time
About the Role

We are seeking a highly skilled and dedicated Nursing Case Management Associate to join our team at Mass General Brigham in Brighton, MA.

This is an ongoing opportunity for 40 hours per week with a shift of 8 hours, days.

Job Summary

The successful candidate will provide administrative support to our Case Managers and Clinical Social Workers with routine and regulatory clinical and administrative functions.

Duties and Responsibilities
  • Provide administrative support related to the discharge process, including faxing, copying, and scanning information, booking rooms for family-team meetings, and assisting patients with securing new PCP's prior to discharge.
  • Support the process of patient referral to SNF, home care, and outpatient, including entering clinical information into the 4NEXT referral system and managing communications regarding acceptance and bed offer or denial with facilities.
  • Support the insurance authorization and continued stay process by making initial contact with the insurance CM to confirm contact information and to establish contacts between the payer and SRH CM.
  • Research available community resources at the request of the CM or SW and assist with applications for community resources such as PT1, handicap placards, and specialized funds.
  • Maintain a database for insurance-based processes, e.g. denials and appeals, Medicaid conversion requests and decisions.
  • Contact patients after discharge to complete the 'Post Discharge Follow-up Phone Call' process and document the calls per department protocol.
Requirements

To be considered for this role, you will need:

  • A minimum of 1-2 years of clinical and/or community resource experience.
  • Computer proficiency, preferably with Microsoft office applications, and ability to learn new software.
  • Highly developed communications and interpersonal skills, working with diverse populations.
  • Ability to work independently, be self-directed, and contribute as a member of a team.
  • Anticipate challenges and develop strategies for addressing them.
  • High level of service delivery, demonstrating initiative, prioritizing work, meeting deadlines, and adapting to changing situations.
  • Attention to detail.
Benefits
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Life insurance
  • Employee assistance programs
Estimated Salary

$67,000 - $85,000 per year, based on experience and location.



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