<p>Site: Mass General Brigham Incorporated</p> <p>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.</p> <p>Job Summary</p> <p>As part of the larger Patient Transfer and Access Center (PTAC) team, the nurse case manager will screen transfers in and out of MGB facilities for key case management elements. Using advanced case management skills, the PTAC nurse case manager will research patient-specific needs, explore all of the options available to the patient for high quality care, and coordinate services within and external to the MGB healthcare system.</p> <p>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 eligibility requirements of the program and 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</p> <p>Qualifications</p> <p>Job Responsibilities:</p> <ul> <li>Modify patient treatment plans as indicated by patients' responses and conditions. </li><li>Prepare patient/family for discharge. </li><li>Communicates with third party payers to obtain necessary authorization for reimbursement of services. </li><li>Review cases with medical directors on challenging cases as needed. </li><li>Defines care goals of patients by providing education, information, and direction to each individual and family. </li><li>Maintain accurate, detailed reports and records. </li><li>Communicates with third-party payers to obtain necessary authorization for reimbursement of services. </li></ul> <p>Qualifications:</p> <ul> <li>Associate's Degree in Nursing required </li><li>Bachelor's Degree in Nursing preferred </li><li>Registered Nurse Licensed in MA </li><li>2-3 years of case management, utilization review, or discharge planning experience preferred </li></ul> <p>Knowledge, Skills and Abilities</p> <ul> <li>Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. </li><li>Ability to establish strong rapport and relationships with patients and staff. </li><li>Proficient in Microsoft Office and industry-related software programs. </li><li>Identify complex problems and review related information to develop and evaluate options and implement solutions. </li><li>Ability to maintain client and staff confidentiality. </li><li>Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care. </li><li>Knowledge of healthcare and managed care preferred. </li></ul> <p>Additional Job Details (if applicable)</p> <p>M-F, mostly onsite at Assembly Row, Somerville, MA.</p> <p>Remote Type</p> <p>Hybrid</p> <p>Work Location</p> <p>399 Revolution Drive</p> <p>Scheduled Weekly Hours</p> <p>40</p> <p>Employee Type</p> <p>Regular</p> <p>Work Shift</p> <p>Day (United States of America)</p> <p>EEO Statement:</p> <p>Mass General Brigham Incorporated 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.</p> <p>Mass General Brigham Competency Framework</p> <p>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.</p>