RN - Home Base Nurse Case Manager - MGH

massgeneralbrigham; Boston (MA); Hybrid; USD 85,000 - 110,000; Full time

Job summary

The General Hospital Corporation is seeking a Nurse Case Manager to support Home Base COMBHAT, coordinating care for Veterans and service members. The role involves liaison among providers, patients, families, and referral sources across the Mass General Brigham network.

Onsite Thursdays and Fridays with additional onsite support as needed, you will ensure care coordination, plan discharge activities, and identify local resources to complete treatment goals in collaboration with the Brain Health

Qualifications

• Associate's Degree Nursing required or Bachelor's Degree Nursing preferred.
• Experience in case management, utilization review, or discharge planning desired.
• Knowledge of healthcare and managed care preferred.

Responsibilities

• Conduct client assessments and planning to establish care goals.
• Modify patient treatment plans as indicated by responses and conditions.
• Prepare patient/family for discharge and coordinate with care teams.
• Communicate with third-party payers to obtain required authorization for reimbursement.
• Review cases with medical directors to discuss challenging cases.
• Maintain accurate, detailed reports and records of care.
• Develop and coordinate community service plans with patients and families.

Skills

Active listening

Communication skills

Rapport building

Microsoft Office

Critical thinking

Confidentiality

Healthcare knowledge

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

Microsoft Office

Electronic Health Records

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

Onsite every Thursday and Friday, with additional onsite work as needed to support program operations.

Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research.The Massachusetts General Hospital seeks a dynamic and experienced professional to provide Nurse Case Management services to COMBHAT patients at the Red Sox Foundation and Massachusetts General Hospital Home Base Program. Veterans and Active-Duty Service Members treated in the COMBHAT Program are referred to Home Base from locations nationwide, including directly from military commands.

Under the general supervision of the Associate Director of Brain Health and the Brain Health Nurse Team Lead, the Home Base COMBHAT Nurse Case Manager will serve as the primary relationship liaison among Home Base providers, patients, families, military commands, and referral sources in patients' local communities and across the MGB network.

• Eestablishes and maintain care coordination for recommendations and referrals arising from the COMBHAT Program.
• Facilitate patients' return to Home Base for additional treatment programs when recommended and collaborate closely with the Brain Health Resource Specialist to identify local resources that support treatment completion.

Onsite every Thursday and Friday, with additional onsite work as needed to support program operations.

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 the program's eligibility requirements and those of the 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.

Does this position require Patient Care? Yes

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

Registered Nurse [RN - State License] - Generic - HR Only required Basic Life Support [BLS Certification] - Data Conversion - Various Issuers preferred

Experience

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

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)

• Remote Type
• Hybrid
• Work Location
• One Constitution Wharf
• Scheduled Weekly Hours
• 4