Asthma Nurse Case Manager

8925 Mass General Brigham Health Plan Holding Company, Inc.; Somerville (MA); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Flexible work options

Career growth opportunities

Job summary

Mass General Brigham Health Plan is seeking an experienced RN for a hybrid role in Somerville. The position offers $90,000 to $110,000 annually, with a focus on coordinating whole health care and improving member outcomes.

Responsibilities include assessing patients, planning care, and documenting in EMR systems, while meeting NCQA standards. Requires MA RN license and BLS, with preferred telephonic case management or home care background.

Qualifications

• RN with Massachusetts license required.
• BLS certification is required.
• Experience in telephonic case management or home care preferred.

Responsibilities

• Client Assessments and Planning
• Documents in accordance with NCQA requirements in member EMR
• Modify member treatment plans
• Defines care goals of cardiac patients by providing education, information, and direction to each individual and family
• Coordinates member care with other members of the Coordinated Whole Health Care team when appropriate
• Review cases with medical directors on challenging cases as needed
• Maintain accurate, detailed reports and records.

Skills

Active listening

Communication

Confidentiality

Microsoft Office

EMR software

Education

Associate's Degree Nursing

Bachelor's Degree Nursing

Tools

EMR software

Job description

Job Summary

Given equity, this position will pay somewhere between $90,000 to $110,000 annually. Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Essential Functions

• Client Assessments and Planning
• Documents in accordance with NCQA requirements in member EMR
• Modify member treatment plans
• Defines care goals of cardiac patients by providing education, information, and direction to each individual and family
• Coordinates member care with other members of the Coordinated Whole Health Care team when appropriate
• Review cases with medical directors on challenging cases as needed
• Maintain accurate, detailed reports and records.

Qualifications

• Education Associate's Degree Nursing required
• Bachelor's Degree Nursing preferred
• Licenses and Credentials Massachusetts Registered Nurse (RN) license required
• Basic Life Support (BLS) certification required
• Respiratory experience highly preferred
• Previous teleophonic case management or home care experience highly preferred

Experience

• At least 2-3 years of case management, utilization review, or discharge planning experience 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 Conditions This is a hybrid role that requires an on-site presence at the office in Assembly Row, Somerville roughly once per quarter This is a full-time role with a Monday through Friday schedule, generally 8:30-5:00 PM Eastern Time Remote workspace requirements, including privacy and security standards, may be verified in accordance with organizational policy Given equity, this position will pay somewhere between $90,000 to $110,000 annually. Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP 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.

EEO Statement

8925 Mass General Brigham Health Plan Holding Company, 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 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. Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.