RN - Home Base Nurse Case Manager - MGH

Mass General Brigham•Boston, MA

3d•$42 - $108•Hybrid

About The Position

The General Hospital Corporation seeks a Registered Nurse to provide nurse case management services to patients in the COMBHAT Program at the Red Sox Foundation and Massachusetts General Hospital Home Base Program. Home Base provides clinical care, wellness, education, and research for Veterans, Service Members, Military Families, and Families of the Fallen experiencing issues associated with military service, including post-traumatic stress, traumatic brain injury, anxiety, depression, substance use disorder, and family relationship challenges. COMBHAT patients may be referred to Home Base from locations nationwide, including directly from military commands. Under the general supervision of the Associate Director of Brain Health and the Brain Health Nurse Team Lead, the Nurse Case Manager serves as the primary relationship liaison among Home Base providers, patients, families, military commands, referral sources in patients’ local communities, and the Mass General Brigham network. The role coordinates recommendations and referrals arising from the COMBHAT Program, facilitates patients’ return to Home Base for additional recommended treatment, and collaborates with the Brain Health Resource Specialist to identify local resources that support treatment completion. The position is hybrid, with onsite work every Thursday and Friday and additional onsite work as needed to support program operations. It is scheduled for 40 hours per week on the day shift.

Requirements

Associate's degree in Nursing required; experience cannot be accepted in lieu of a degree.
Registered Nurse (RN) state license required.
Ability to give full attention to others, understand their points, ask appropriate questions, and avoid interrupting inappropriately.
Ability to use logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions, or approaches.
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, review related information, develop and evaluate options, and implement solutions.
Ability to maintain client and staff confidentiality.
Understanding of diagnostic criteria for dual conditions and ability to conceptualize modalities and placement criteria within the continuum of care.

Nice To Haves

Bachelor's degree in Nursing preferred.
Basic Life Support (BLS) certification preferred.
Two to three years of case management, utilization review, or discharge planning experience preferred.
Knowledge of healthcare and managed care preferred.

Responsibilities

Serve as the primary liaison among Home Base providers, patients, families, military commands, referral sources, and the Mass General Brigham network.
Establish and maintain care coordination for recommendations and referrals arising from the COMBHAT Program.
Facilitate patients’ return to Home Base for additional treatment when recommended.
Collaborate with the Brain Health Resource Specialist to identify local resources that support treatment completion.
Coordinate and support healthcare within the facility and coordinate referrals for services outside the clinic.
Provide outreach and enrollment services to meet program eligibility requirements and those of surrounding counties.
Coordinate and plan community and family support, including developing community service plans.
Partner with service providers, families, and patients to create healthcare plans and identify additional service providers.
Assess clients and participate in care planning.
Modify patient treatment plans in response to patients’ conditions and responses.
Prepare patients and families for discharge.
Communicate with third-party payers to obtain authorization for reimbursement of services.
Review challenging cases with medical directors as needed.
Define patient care goals by providing education, information, and direction to patients and families.
Maintain accurate and detailed reports and records.