RN Care Manager - Complex Care & Discharge Planner

Mass General Brigham Community Physicians; Boston (MA); Hybrid; USD 59,000 - 142,000; Full time

Job summary

Mass General Brigham Community Physicians in Boston seeks a dedicated care coordinator to support healthcare delivery within the facility and coordinate referrals to services outside the clinic. You will conduct outreach and enrollment to meet program eligibility and help develop community-based care plans with patients and families.

The role emphasizes teamwork, documentation, and collaboration with providers and payers.

Qualifications

• Associate's Degree in Nursing required.
• Bachelor's Degree in Nursing preferred.
• Registered Nurse (RN) license for Massachusetts required.
• 2+ years of case management, utilization review, or discharge planning experience required.
• Knowledge of healthcare and managed care preferred.

Responsibilities

• Coordinate care and referrals within the facility and for services outside the clinic.
• Provide outreach and enrollment services to meet program eligibility across counties.
• Develop community service plans with patients and families.
• Maintain accurate, detailed reports and records.
• Communicate with third party payers to obtain necessary authorization for reimbursement of services.

Skills

Compassionate communication

Rapport building

Microsoft Office

EMR software

Detail oriented

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing preferred

Tools

Microsoft Office

EMR software

Job description

Mass General Brigham Community Physicians in Boston seeks a dedicated care coordinator to support healthcare delivery within the facility and coordinate referrals to services outside the clinic. You will conduct outreach and enrollment to meet program eligibility and help develop community-based care plans with patients and families.

The role emphasizes teamwork, documentation, and collaboration with providers and payers.