Nurse Case Manager-Martha's Vineyard Hospital

Mass General Brigham; Oak Bluffs (MA); Remote; USD 58,000 - 143,000; Full time

Job summary

A prominent healthcare organization is seeking a Remote Nurse to coordinate healthcare services and manage referrals. The ideal candidate should have an Associate's Degree in Nursing, an RN license, and relevant experience in case management. This role includes developing community service plans and ensuring patient treatment plans are modified based on their conditions. Competitive pay and opportunities for career advancement are provided.

Benefits

Competitive pay

Career advancement opportunities

Qualifications

• Registered Nurse (RN - State License) required.
• 2-3 years of experience in case management, utilization review, or discharge planning preferred.
• Basic Life Support (BLS Certification) preferred.

Responsibilities

• Coordinate and support healthcare within the facility.
• Manage referrals for services outside the clinic.
• Provide outreach and enrollment services.

Skills

Excellent listening skills

Logical reasoning

Proficiency in Microsoft Office

Problem-solving skills

Ability to maintain confidentiality

Education

Associate's Degree in Nursing

Job description

Site: Martha's Vineyard Hospital, 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.

This is a remote position. The ideal candidate would be willing to work every weekend and holiday; however, we are open to considering other options.

Job Summary

Serves as a core member of the care team, coordinating and supporting healthcare within the facility, and managing 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 developing and coordinating community service plans. Partners with service providers, families, and patients to create healthcare plans and identify additional service providers.

Does this position require Patient Care? Yes

Essential Functions - Client Assessments and Planning

• Modify patient treatment plans based on patients' responses and conditions.
• Prepare patients and families for discharge.
• Communicate with third-party payers to obtain necessary authorization for reimbursement.
• Review challenging cases with medical directors as needed.
• Define care goals by providing education, information, and guidance to patients and families.
• Maintain accurate, detailed reports and records.

Qualifications

Education

Associate's Degree in Nursing required; Bachelor's Degree preferred.

Can this role accept experience in lieu of a degree? No.

Licenses and Credentials

• Registered Nurse (RN - State License) - Required.
• Basic Life Support (BLS Certification) - Preferred.

Experience

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

Knowledge, Skills, and Abilities

• Excellent listening skills, patience, and ability to understand others.
• Logical reasoning and problem-solving skills.
• Ability to establish rapport with patients and staff.
• Proficiency in Microsoft Office and related software.
• Ability to handle complex problems and evaluate options.
• Maintain confidentiality of clients and staff.
• Understanding of diagnostic criteria for dual conditions and care modalities.
• Knowledge of Healthcare and Managed Care preferred.

Additional Job Details

Physical Requirements

• Frequent standing, walking, lifting, carrying, and reaching.
• Occasional climbing, stooping, kneeling, crouching, crawling, and pushing/pulling.
• Constant feeling, vision, talking, and hearing.

Remote Type

Remote

Work Location

One Hospital Road

Scheduled Weekly Hours

24

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$58,656.00 - $142,448.80/Annual

Grade

98TEMP

Mass General Brigham offers competitive pay, benefits, career advancement, and recognition programs. The actual offer will consider skills, experience, education, and certifications.

EEO Statement

Martha's Vineyard Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, age, gender identity, disability, sexual orientation, military service, genetic information, or other protected statuses. Reasonable accommodations are provided during the application and employment process.

Mass General Brigham Competency Framework

Our competency framework defines effective leadership through behaviors critical for success at each job level, evaluated via observable skills and behaviors to support performance, development, and talent pipeline.