Registered Nurse Case Manager Jobs in Massachusetts

Site: The General Hospital Corporation

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.

Job Summary

Onsite every Thursday and Friday, with additional onsite work as needed to support program operations.

Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds – including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service – for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research.

The Massachusetts General Hospital seeks a dynamic and experienced professional to provide Nurse Case Management services to COMBHAT patients at the Red Sox Foundation and Massachusetts General Hospital Home Base Program. Veterans and Active-Duty Service Members treated in the COMBHAT Program are 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 Home Base COMBHAT Nurse Case Manager will serve as the primary relationship liaison among Home Base providers, patients, families, military commands, and referral sources in patients’ local communities and across the MGB network.

• Eestablishes and maintain care coordination for recommendations and referrals arising from the COMBHAT Program.
• Facilitate patients’ return to Home Base for additional treatment programs when recommended and collaborate closely with the Brain Health Resource Specialist to identify local resources that support treatment completion.

Onsite every Thursday and Friday, with additional onsite work as needed to support program operations.

Summary

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 the program's eligibility requirements and those of the 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.

Does this position require Patient Care? Yes

Essential Functions

• 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 as needed to discuss challenging cases.
• 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.

Education Associate's Degree Nursing required or Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only required Basic Life Support [BLS Certification] - Data Conversion - Various Issuers preferred Experience Case management, utilization review, or discharge planning experience 2-3 years 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.

Hybrid

One Constitution Wharf

40

Regular

Day (United States of America)

Pay Range

$41.72 - $108.29/Hourly

Grade

GHCARN055

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

1200 The General Hospital Corporation 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 Competency Framework