Diabetes Nurse Case Manager

Mass General Brigham•Somerville, MA

5d•$58,656 - $142,449•Hybrid

About The Position

The Diabetes Nurse Case Manager serves as a bridge between patients, healthcare providers, and community resources. The role aims to reduce diabetes-related hospital and emergency department visits, improve medication adherence, and help patients build confidence in managing their condition. The manager acts as an advocate, educator, and problem-solver for members living with diabetes. This is a full-time hybrid role based remotely, with an on-site presence at the Assembly Row office in Somerville roughly once per quarter. The schedule is Monday through Friday, generally 8:30 a.m. to 5:00 p.m. Eastern Time, for 40 hours per week. Remote workspace privacy and security requirements may be verified under organizational policy. The posting gives an equity-based annual pay estimate of $90,000 to $110,000 and a separate annual pay range of $58,656 to $142,448.80. The position offers competitive salaries, benefits, flexible work options, career growth opportunities, and other compensation and recognition programs.

Requirements

Associate’s degree in nursing.
Massachusetts Registered Nurse (RN) license.
Basic Life Support (BLS) certification.
Strong patient education and motivational interviewing skills.
Familiarity with care plan creation and documentation in an electronic medical record.
Ability to work collaboratively with diverse teams and populations.
Strong listening skills, including understanding others’ points, asking appropriate questions, and avoiding inappropriate interruptions.
Ability to use logic and reasoning to evaluate alternative solutions and approaches to problems.
Ability to establish strong rapport and relationships with patients and staff.
Proficiency in Microsoft Office and industry-related software programs.
Ability to identify complex problems, 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.

Nice To Haves

Bachelor’s degree in nursing.
CDCES certification (highly preferred).
At least 2–3 years of case management, utilization review, or discharge planning experience (preferred).
Experience in chronic disease management, ideally diabetes (highly preferred).
Pediatric experience.
Knowledge of healthcare and managed care.

Responsibilities

Assess members’ and patients’ medical, behavioral, and social health.
Define patient care goals by providing education, information, and direction to individuals and families.
Develop and implement individualized diabetes management and care plans in collaboration with patients and healthcare providers.
Modify care plans in response to patients’ conditions and outcomes.
Educate patients and families about medication use and lifestyle adjustments.
Conduct regular follow-ups by phone or telehealth and monitor medication adherence, nutrition, physical activity, and A1c.
Review challenging cases with medical directors as needed.
Maintain accurate, detailed reports and records.
Work with members following a recent hospitalization or emergency department visit to reduce readmission risk.
Collaborate with members of the healthcare team, including behavioral health care managers, dietitians, social care managers, endocrinologists, and primary care providers.
Track patient progress using electronic health records and report outcomes to improve care strategies.