Pediatric Care Management Intake Clinician - RN

Mass General Brigham • Somerville, MA

4d • $58,656 - $142,449 • 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 Pediatric Care Management Intake Clinician (RN) leads clinical intake for pediatric patients referred to complex care or care management services. This role triages referrals, verifies eligibility, performs nurse-led intake assessments, risk stratifies medically and socially complex children, initiates family-centered care plans, and coordinates timely handoffs to assigned Pedi iCMP Care Manager. The RN partners closely with social work, pharmacy, CHWs, and CRS to reduce avoidable utilization and improve outcomes, experience, and equity.

Requirements

• Associate's Degree Nursing required; Bachelor's Degree Nursing preferred.
• Active Massachusetts RN licensure required.
• 2+ years of Pediatrics experience required.
• Strong clinical triage, assessment, and care planning skills (ie SMART GOALS)
• Expertise working collaboratively with non-clinical roles (ex. Community Health Workers)
• Familiarity with SDOH screening, community resources, and payer processes.
• Excellent communication with families and interdisciplinary teams.
• EMR proficiency; comfort with reports and registries.

Nice To Haves

• Care / case management experience preferred.
• Certification in Case Management (CCM/ACM) or Pediatric Nursing (CPN) preferred.
• Experience with technology-dependent children, rare diseases, and medical home models preferred.
• Bilingual ability and/or experience with interpreter services preferred.

Responsibilities

• Prepare patient/family for enrollment in program.
• Communicates with third party payers to obtain necessary authorization for reimbursement of services.
• Review cases with medical directors on challenging cases as needed.
• Defines care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree