RN Case Manager for Dual Eligible Special Need Plan (D-SNP)
Mass General Brigham · Somerville-MA; Plymouth-MA; Duxbury-MA and 8 more
What the posting says
Each fact was read from this posting and checked:Statedin the posting, quotedConflictsposted two ways, both shownNot mentionedwe looked; it is not there
- PayStated
- $58,656–$142,449 a year
- Employment typeStated
- Full time
- Work arrangementStated
- Hybrid
- ShiftStated
- day
Work Shift Day (United States of America)
from the posting - ExperienceStated
- 2-5 years
- EducationStated
- ['associate degree', 'bachelor degree', 'professional certificate']
Not mentioned in this posting
We read the whole posting. These are not in it. Not a no: ask the recruiter, in your own words.
- Visa sponsorshipNot mentioned
- The posting does not say
Requirements, each with its sentence from the posting
These are the employer’s words. The index does not judge whether you meet them.
- RN Licensure for Massachusettsrequired
Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required
from the posting - Case management and/or discharge planningrequired
2+ years of case management and/or discharge planning required
from the posting - Experience with dually eligible populationsrequired
Experience working with complex dually eligible populations required
from the posting - Associate's Degree Nursingrequired
Associate's Degree Nursing required
from the posting - Bachelor's Degree Nursingpreferred
Bachelor's Degree Nursing preferred
from the posting - Knowledge of Managed Carepreferred
Knowledge of Managed Care preferred
from the posting - Understanding of diagnostic criteria for dual conditionspreferred
Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred
from the posting - Active listeningimplied
Giving full attention to what other people are saying, taking time to understand the points being made
from the posting - Problem-solvingimplied
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions
from the posting - Patient rapport and relationshipsimplied
Ability to establish strong rapport and relationships with patients and staff
from the posting - Microsoft Officeimplied
Proficient in Microsoft Office and industry related software programs
from the posting - Clinical documentationimplied
Maintain accurate, detailed reports and records
from the posting
Read the full posting as the employer wrote it
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
The RN Case Manager serves as a core member of the care team by coordinating and supporting healthcare within the facility and coordinating referrals for services outside the clinic. The RN provides outreach and enrollment services to meet eligibility requirements of the program and surrounding counties, and ensures coordination and planning, including community and family support, by focusing on the development and coordination of community service plans and partnering with service providers, families, and patients to create a plan of healthcare.Primary 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.
Qualifications
Qualifications:
- Associate's Degree Nursing required (Bachelor's Degree Nursing preferred).
- Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required.
- 2+ years of case management and/or discharge planning required.
- Experience working with complex dually eligible populations required.
- Knowledge of Managed Care preferred.
- Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred.
Additional 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.
Additional Job Details (if applicable)
Schedule and Working Model:
- Full-time (40 hours) Monday through Friday, ~8:30am-5pm.
- Hybrid: Approximately 2 days per week in the field and 3 days per week at home, with flexibility as needed.
- On remote workdays, employees must use a stable, secure, and compliant workstation in a quiet environment. Teams video is required and must be accessed using MGB-provided equipment.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$58,656.00 - $142,448.80/Annual
Grade
98TEMP
EEO Statement:
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.
The posting text is reproduced as the employer wrote it; the index adds nothing to it.