Transition of Care RN Case Manager - Part-Time
- 2410 Brigham and Women's Physicians Organization, Inc.
- Somerville-MA
- 5mo ago
- Part-Time
- Remote
...
Site: Mass General Brigham Community Physicians, Inc.
As an integral member of the Population Health Management Operations team, the Transitions of Care RN will support Medicaid ACO patients as they transition from an inpatient hospital stay to their homes by completing post-discharge assessments.
- Client Assessments and Planning.
- Modify patient treatment plans as indicated by patients' responses and conditions.
- Prepare patient/family for discharge.
- Communicate with third party payers to obtain necessary authorization for reimbursement of services.
-Define 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.
- Review cases with medical directors on challenging cases as needed.Remote399 Revolution Drive20RegularDay (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.
As an integral member of the Population Health Management Operations team, the Transitions of Care RN will support Medicaid ACO patients as they transition from an inpatient hospital stay to their homes by completing post-discharge assessments.
Job Summary
Primary Responsibilities:- Client Assessments and Planning.
- Modify patient treatment plans as indicated by patients' responses and conditions.
- Prepare patient/family for discharge.
- Communicate with third party payers to obtain necessary authorization for reimbursement of services.
-Define 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.
- Review cases with medical directors on challenging cases as needed.
Qualifications
What You'll Bring
Requirements:
- Associate's Degree Nursing (ADN) or Bachelor's Degree Nursing (BSN)
- Active and unrestricted RN Licensure
- Care Management and/or Home Care background
- 2+ years of experience in case management, utilization review and/or discharge planning
Preferences:
- 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.
Additional 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.
Additional Job Details (if applicable)
Schedule and Work Model:
- Part time (20 hours per week) with a rotating schedule of Saturday/Sunday/Monday and then Sunday/Monday/Tuesday. Hours worked per day are flexible; 20 hours total over three days.
- Fully remote / work from home. Must use a stable, secure, and compliant workstation in a quiet environment. Teams Video is required and must be accessed using MGB-provided equipment.
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.