Registered Nurse Complex Care Manager RN
- 2410 Brigham and Women's Physicians Organization, Inc.
- Somerville-MA
- 8mo ago
- Full-Time
- Hybrid
...
Site: Mass General Brigham Community Physicians, Inc.
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.
- 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.Hybrid399 Revolution Drive40RegularDay (United States of America)Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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.
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.
Job Summary
Primary 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.
Qualifications
What You'll Bring
Education:
- Associate's Degree Nursing required
- Bachelor's Degree Nursing (BSN) preferred
Licenses and Credentials:
- Active Registered Nurse (RN) Licensure for the state of Massachusetts required
Experience:
- 2+ years of ambulatory care, practice based case management, primary care case management and/or specialty case management experience required
- 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
Knowledge, Skills and Abilities:
- 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.
Additional Job Details (if applicable)
Working Model & Location Details:
- Full-time (40 hours) Monday through Friday 8am-4:30pm or 8:30am-5pm
- Hybrid work model (~1-2 days in clinic, ~2-3 days in field, ~1 day at home)
- Located at one of the following clinics:
- FCA Family Care Associates / Longwood; or
- BCMA in Brookline; or
- Westwood/Norwood; or
- Phyllis Jen Center - 45 Francis Street
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$58,656.00 - $142,448.80/Annual
Grade
98TEMP
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.