Complex Care Manager RN (20 Hours)

Mass General Brigham•Boston, MA

9d•Hybrid

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Opportunity Care Compass is a new, transformative program. This integrated, regional, team-based model is designed to manage and coordinate care for Mass General Brigham’s high risk primary care patients. The Complex Care Manager RN serves as a core member of the care team. The RN coordinates and supports healthcare within the facility, and coordinates referrals for services outside the clinic.

Requirements

Associate's Degree Nursing required
Active Registered Nurse (RN) Licensure for the state of Massachusetts required
2+ years of ambulatory care, practice based case management, primary care case management and/or specialty case management experience required
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Ability to establish strong rapport and relationships with patients and staff.
Proficient in Microsoft Office and industry related software programs.
Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
Ability to maintain client and staff confidentiality.
Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care.
Knowledge of Healthcare and Managed Care preferred.

Nice To Haves

Bachelor's Degree Nursing (BSN) preferred
Home care experience strongly preferred
Hospital case management and/or or discharge planning experience preferred
Experience using EPIC preferred
Experience working at a primary care practice preferred
Ability to speak Spanish for certain primary care practices preferred

Responsibilities

Provides outreach and enrollment services to meet eligibility requirements of the program and surrounding counties.
Ensures coordination and planning, including community and family support.
Focuses on the development and coordination of community service plans.
Partners with service providers, families, and patients to create a plan of healthcare and identify additional service providers.
Client assessments and planning.
Modifies patient treatment plans as indicated by patients' responses and conditions.
Prepares patient/family for discharge.
Communicates with third party payers to obtain necessary authorization for reimbursement of services.
Reviews cases with medical directors on challenging cases as needed.
Defines patient care goals.