RN Case Manager: Elevate Patient Care & Discharge Planning

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

Job summary

Mass General Brigham Community Physicians, Inc. is seeking an experienced RN Case Manager to coordinate and support healthcare services within the facility and arrange referrals for services outside the clinic.

The role includes outreach to enroll eligible patients and develop community service plans with families and providers. The position focuses on planning, coordinating care, and ensuring access to resources, while working within a hybrid schedule at our Revolution Drive site and related

Qualifications

• Associate's Degree in Nursing required; Bachelor's Degree preferred.
• Active and unrestricted RN licensure in Massachusetts required.
• 2+ years of case management or discharge planning experience.
• Experience with complex dually eligible populations.
• Knowledge of Managed Care.
• Understanding of diagnostic criteria for dual conditions and placement criteria within the continuum of care.

Responsibilities

• Conduct 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.
• Define care goals of patients by providing education, information, and direction to each individual and family.
• Review cases with medical directors on challenging cases as needed.
• Maintain accurate, detailed reports and records.

Skills

RN licensure MA

Case management

Managed Care knowledge

Discharge planning

Communication skills

Microsoft Office

Education

Associate's Degree Nursing

Tools

Microsoft Office

Job description

Mass General Brigham Community Physicians, Inc. is seeking an experienced RN Case Manager to coordinate and support healthcare services within the facility and arrange referrals for services outside the clinic.

The role includes outreach to enroll eligible patients and develop community service plans with families and providers. The position focuses on planning, coordinating care, and ensuring access to resources, while working within a hybrid schedule at our Revolution Drive site and related