RN Case Manager - Per Diem

Job 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 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
• Communicates with third-party payers to obtain necessary authorization for reimbursement of services.
• Review cases with medical directors on challenging cases as needed.
• Defines care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.

Qualifications

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 : 2-3 years preferred in case management, utilization review, or discharge planning.

Knowledge, Skills and Abilities :

Physical Requirements

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.