RN Case Manager - Float - MGH

1200 The General Hospital Corporation; Boston (MA); On-site; USD 90,000 - 149,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

Tuition Reimbursement

Generous paid time off

Subsidized MBTA pass

Resources for childcare

Hospital retirement plan

Employee perks

Job summary

Mass General Brigham in Boston is seeking an experienced Registered Nurse Case Manager to join the Case Management department. You will assess and plan care, coordinate services, and support discharge planning to ensure high-quality patient care.

This position requires MA RN license, an associate degree or bachelor’s in nursing, and 2–3 years of case management or discharge planning experience. Onsite work at 265 Charles Street with a 30-hour weekly schedule.

Qualifications

• Associate's Degree in Nursing or Bachelor's Degree in Nursing preferred
• MA RN License required
• 2-3 years experience in case management, utilization review, or discharge planning preferred
• Proficient in Microsoft Office and related software
• Ability to establish strong rapport with patients and staff
• Knowledge of Healthcare and Managed Care preferred

Responsibilities

• Client assessments and care planning.
• Modify patient treatment plans based on responses and conditions.
• Prepare patient/family for discharge.
• Communicate with third-party payers to obtain authorization for reimbursement.
• Review cases with medical directors as needed.
• Define care goals and provide education to patients and families.
• Maintain accurate reports and records.
• Collaborate with care teams to coordinate services.

Skills

Case management

Utilization review

Discharge planning

Rapport with patients

MS Office

Healthcare knowledge

Managed care knowledge

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

Microsoft Office

Job description

Site: The General Hospital Corporation 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 30 hours per week - 3 -10 hour shifts per week with 1 weekend a month requirement. As Registered Nurses (RNs) at Massachusetts General Hospital, our every action is guided by knowledge, enabled by skill, and motivated by compassion. Patients are our primary focus, and the way we deliver care reflects that focus every day. We believe in creating a healing environment — an environment that is safe, has no barriers, and is built on a spirit of inquiry—an environment that reflects a diverse, inclusive, and culturally competent workforce representative of the patient-focused values of this institution.

The Case Manager, as a member of the health care team, collaborates to enhance the delivery of patient care services along the continuum of care. The Case Manager meets patient's needs efficiently and expeditiously by continuously improving the patient's experience, helping to ensure the institutional standards of high-quality patient care, reducing cost, and ensuring reimbursement. Through broad knowledge of clinical care and systems management, the case manager evaluates, predicts, and facilitates the trajectory of patient care. The case manager employs a collaborative process of assessment, planning, implementation, care coordination, monitoring, advocacy, and evaluation to meet the individual's health care needs.

We currently have exciting opportunities for RNs to work in the Case Management department. The Case Management Department provides an in-depth orientation and onboarding program. We also have an innovative “Novice to Expert” program. MGH has a Clinical Recognition Program which provides a path to formally recognize clinical staff for their expertise in caring for patients and families. Case Managers are supported by strong leaders, subject matter expert colleagues, and case management resource specialists. We are truly a team!

Reasons to Choose MGH

• Medical, Dental and Vision insurance
• Tuition Reimbursement
• Generous paid time off
• Subsidized MBTA pass (50% discount)
• Resources for childcare and emergency backup care
• Hospital paid retirement plan and tax-sheltered annuity plan
• Employee “Perks” - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events.

Additional Job Details (if applicable) Remote Type Onsite Work Location 265 Charles Street Scheduled Weekly Hours 30 Employee Type Regular Work Shift Day (United States of America) Pay Range $41.72 - $108.29/Hourly Grade GHCARN055

Essential Functions

• Client Assessments and Planning.
• Modify patient treatment plans as indicated by patients' responses and conditions.
• Prepare patient/family for discharge.
• Communicates with third-party payers to obtain necessary authorization for reimbursement of services.
• Review cases with medical directors as needed to discuss challenging cases.
• Defines care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.
• Communicates with third-party payers to obtain necessary authorization for reimbursement of services.

Qualifications

Education Associate's Degree Nursing required or Bachelor's Degree Nursing preferred

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

Licenses and Credentials MA Registered Nurse License required Basic Life Support [BLS Certification] - Data Conversion - Various Issuers preferred

Experience Case management, utilization review, or discharge planning experience 2-3 years preferred

• 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.

EEO Statement

1200 The General Hospital Corporation 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.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.