Complex Care Nurse (RN) Care Manager - Per Diem

Mass General Brigham Incorporated; Newton, Northern (MA, KY); Hybrid; USD 39,000 - 94,000; Part time

Benefits offered by this job

Job summary

Mass General Brigham Community Physicians, Inc. is seeking a Complex Care Nurse (RN) Care Manager for a per diem, hybrid role in Newton, MA. You will coordinate care, manage referrals, and support patients and families across the continuum of care.

The successful candidate will hold an RN license in MA and NH, have at least two years in case management or discharge planning, and be proficient in coordinating with providers, payers, and community resources to ensure effective care transitions.

Qualifications

• Associate's Degree Nursing required; Bachelor's preferred.
• RN license for MA and NH; NH license transferable or willing to obtain.
• At least 2 years in case management, utilization review, or discharge planning.
• Ability to coordinate care with providers, payers, and families.

Responsibilities

• Client assessments and planning.
• Modify treatment plans based on patient responses.
• Prepare patient/family for discharge.
• Coordinate with third-party payers for authorizations.
• Review challenging cases with medical directors.
• Define care goals and educate patients and families.
• Maintain accurate reports and records.

Skills

Care coordination

Patient education

Communication

Team collaboration

Confidentiality

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

RN license MA & NH

Tools

Microsoft Office

Job description

## Complex Care Nurse (RN) Care Manager - Per DiemApply: Hybrid: Newton-MA: Part time: Posted Today: RQ4081271Site: Mass General Brigham Community Physicians, 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**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. Primary Responsibilities: - 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.**Qualifications****Qualifications:** * Associate's Degree Nursing required. Bachelor's Degree Nursing preferred.* Registered Nurse (RN) License for states of Massachusetts and New Hampshire required. If RN does not have NH license, must be willing to obtain. MGB will cover cost.* 2+ years case management, utilization review, or discharge planning experience preferred.**Additional 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)****Schedule and Work Model:** * Per Diem. Must be available to work at least two 8-hour days per month. Up to 1 day per week is typically available, but not guaranteed.* Remote/work from home with flexibility to work on-site at Newton Wellesley Hospital as needed.* Employees must use a stable, secure, and compliant workstation in a quiet environment. Teams video is required and must be accessed using MGB-provided equipment.**Remote Type**Hybrid**Work Location**2014 Washington Street**Scheduled Weekly Hours**0**Employee Type**Per Diem**Work Shift**Day (United States of America)**Pay Range**$28.20 - $68.49/Hourly**Grade**98TEMPAt 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.**EEO Statement:**6010 Mass General Brigham Community Physicians, 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.