About the position
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.
Responsibilities
• 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.
• 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.
• Review cases with medical directors on challenging cases as needed.
• Define care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.
Requirements
• Associate's Degree Nursing required.
• 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 case management, utilization review, or discharge planning experience preferred.
• Knowledge of Healthcare and Managed Care preferred.
Benefits
• comprehensive benefits
• career advancement opportunities
• differentials
• premiums
• bonuses
• recognition programs