RN Case Manager - Float - MGH

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.

Every role has an impact on our patients' lives. You can make a difference. We are looking for dedicated Case Managers like you to be a part of our team.

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
• 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

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

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

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization.

Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors.

The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package.

In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

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.