Asthma Nurse Case Manager

massgeneralbrigham; Somerville (MA); Hybrid; USD 90,000 - 110,000; Full time

Job summary

Mass General Brigham Health Plan is seeking a registered nurse for hybrid, full-time case management in Somerville. You will assess and plan care, document per NCQA standards, and coordinate with the care team to define goals and modify treatment plans. The role requires an MA RN license and BLS, with a 2–3 year background in case management and discharge planning.

Qualifications

• Associate's Degree in Nursing required.
• Massachusetts RN license required.
• BLS certification required.
• 2–3 years of case management, utilization review, or discharge planning experience preferred.

Responsibilities

• Client assessments and planning; document per NCQA requirements.
• Modify member treatment plans and define care goals for cardiac patients.
• Coordinate member care with the Whole Health Care team when appropriate.
• Review cases with medical directors on challenging cases; maintain detailed reports.

Skills

Communication

Rapport building

Analytical thinking

Confidentiality

Education

Associate's Degree Nursing

Bachelor's Degree Nursing

Tools

Microsoft Office

Job description

Site: Mass General Brigham Health Plan Holding Company, Inc.

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

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

Remote Type: Hybrid

Work Location: 399 Revolution Drive

Scheduled Weekly Hours: 40

Employee Type: Regular

Work Shift: Day (United States of America)

Grade: 98TEMP

Pay Range $58,656.00 - $142,448.80/Annual

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

Given equity, this position will pay somewhere between $90,000 to $110,000 annually.