RN Nurse Care Manager

Care Compass is a new, transformative program. This integrated, regional, team-based model is designed to manage and coordinate care for Mass General Brigham's high risk primary care patients. The Complex Care Manager RN serves as a core member of the care team. The RN coordinates and supports healthcare within the facility, and coordinates referrals for services outside the clinic. Primary Responsibilities: - 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. - Client assessments and planning. - Modifies patient treatment plans as indicated by patients' responses and conditions. - Prepares patient/family for discharge. - Communicates with third party payers to obtain necessary authorization for reimbursement of services. - Reviews cases with medical directors on challenging cases as needed. - Defines patient care goals.

What You'll Bring

Education:

- Associate's Degree Nursing required

- Bachelor's Degree Nursing (BSN) preferred

Licenses and Credentials:

- Active Registered Nurse (RN) Licensure for the state of Massachusetts required

Experience:

- 2+ years of ambulatory care, practice based case management, primary care case management and/or specialty case management experience required

- Home care experience strongly preferred

- Hospital case management and/or or discharge planning experience preferred

- Experience using EPIC preferred

- Experience working at a primary care practice preferred

- Ability to speak Spanish for certain primary care practices preferred

Additional 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.

Working Model & Location Details:

- Full-time Monday through Friday 8am-4:30pm or 8:30am-5pm

- Hybrid work model (approximately 1-2 days in clinic in Jamaica Plain, MA; approximately 2-3 days in the field; approximately 1 day at home)

Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.