RN Case Manager (Per Diem)

Mass General Brigham•Boston, MA

2d•Hybrid

About The Position

Join our Care Compass Clinical Team, East Region! We are hiring for a RN Case Manager for per diem day shifts. The RN Case Manager serves as a core member of the care team, coordinates and supports healthcare within the facility, and coordinates referrals for services outside the clinic. 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.

Requirements

Associate's Degree Nursing require.
Registered Nurse (RN) License for state of Massachusetts 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.

Nice To Haves

Bachelor's Degree Nursing preferred.
2+ years of case management, utilization review, or discharge planning experience preferred
Knowledge of Healthcare and Managed Care preferred.

Responsibilities

Client Assessments and Planning
Modify patient treatment plans as indicated by patients' responses and conditions.
Prepare patient/family for discharge
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.
Communicates with third party payers to obtain necessary authorization for reimbursement of services.