Registered Nurse (RN) - Case Management - $35 per hour

Mass General Brigham
Chelsea, US
$35 an hour
Full-time
We are sorry. The job offer you are looking for is no longer available.

Mass General Brigham is seeking a Registered Nurse (RN) Case Management for a nursing job in Chelsea, Massachusetts.

Job Description & Requirements

  • Specialty : Case Management
  • Discipline : RN
  • Duration : Ongoing
  • 40 hours per week
  • Shift : 8 hours
  • Employment Type : Staff

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

When determining base pay, we take a comprehensive approach that considers your skills, relevant experience, education, certifications, and other critical factors.

The pay information provided offers an estimate based on the minimum job qualifications, but it does not encompass all the elements that contribute to your total compensation package.

QUALIFICATIONS Qualifications - Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for newly licensed nurses and external candidates.

  • 1+ years of acute care experience required - 1 year of case management experience required SKILLS / ABILITIES / COMPETENCIES REQUIRED Skills and Abilities Previous experience in a hospital or health care setting;
  • bilingual (English / Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers;
  • strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patient’s needs based on their clinical diagnosis, level of care and discharge plan;

ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills WORKING CONDITIONS Works in a busy and at times stressful hospital and office environment.

Must be flexible and able to work well independently SUPERVISORY RESPONSIBILITY None FISCAL RESPONSIBILITY None GENERAL SUMMARY / OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) / 40HR VARIABLE ROTATING / BWH CARE CONTINUUM Brigham and Women’s Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.

We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity : race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

The RN Care Coordinator (RNCC) manages a caseload of patients and is responsible for ensuring care that supports desired clinical and financial outcomes.

Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge.

Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes.

Mobilizes resources to maximize efficiency of care delivery. PRINCIPAL DUTIES AND RESPONSIBILITIES A. Care Facilitation Coordinates and insures implementation of the plan of care, utilizing case management principles.

1. P rior to or within 24-48 hours of admission the RNCC, by interview of the patient / family, discussion with physician team and / or attending MD and other team members, develops a provisional treatment program and tentative discharge date.

2. R eviews daily treatment plan with physicians, nurses and patient / families to insure interdisciplinary communication and coordination is occurring.

3. P articipates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.

4. C ollaborates with other departments to expedite sequencing and scheduling of interventions, consults, treatments and ancillary services.

5. P rovides for daily continuity with patients to assure patient needs related to discharge are met. 6. I ncorporates knowledge of utilization management principles and payer contracts into patient plans of care.

Keeps physicians and nurses informed of implications. 7. P resents alternatives to inpatient stay to attending MD, team and patient / family based on assessed patient level of care and insurance benefits.

8. S eeks assistance and / or consultation from Care Coordination leadership with plans for outlier and potential or actual resource intensive patients.

9. I nteracts with internal and external health care providers to facilitate patient care including post discharge services.

10. C ontributes to the development, implementation and monitoring of practice guidelines. 11. I dentifies attending, resident and nurse learning needs related to case management and works with service leaders to develop educational plan.

B. Discharge Planning Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.

0. A ssesses continuing care needs in conjunction with other caregivers. 1. C oordinates and schedules interdisciplinary meetings with the patient and family regarding discharge needs and plan as appropriate.

2. A ssures patient education consistent with discharge plan has occurred. 3. I dentifies service, treatment and funding options for post-hospital care.

4. P romotes interdisciplinary patient / family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.

5. P erforms patient / family follow-up after discharge to monitor and support desired outcomes. 6. I nitiates contact with home health agencies and extended care facilities to insure prompt and effective transition of care.

C. Utilization Management Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.

0. I dentifies patients who are likely to have unmet insurance and resource needs and communicates with and / or makes referrals to other members of the health care team and other appropriate departments.

1. C ommunicates as needed with third party payers regarding patient’s progress with treatment plan. 2. I dentifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient / family and other members of the health care team.

3. U tilizing industry accepted utilization and / or medical management criteria (InterQual) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.

4. C onducts documented utilization reviews to insurers or intermediaries. 5. I dentifies SNF and AND days for Medicare and Medicaid patients.

6. I nitiates actions concurrently to reduce and / or eliminate inappropriate hospital admissions and days, and system delays.

7. W orks with payers and physicians to concurrently address level of care concerns effecting claims and reimbursement. 8.

C ontributes to utilization and practic

6 days ago
Related jobs
Promoted
Mass General Brigham
Boston, Massachusetts

Requirements for a Case Management RN: - RN Case Manager experience required - Be a licensed RN in the state of Massachusetts - Minimum of 2 years Med/Surg experience required - Case Manager certificate preferred - ADN required, but BSN strongly preferred - Acute hospital experience preferred. Mass ...

HealthEcareers - Client
Marblehead, Massachusetts

Preferred: - Case Management, Home Care Discharge Planning experience Great opportunity to join an experienced Case Management team. Mass General Brigham is seeking a Registered Nurse (RN) Case Management for a nursing job in Marblehead, Massachusetts. Must be able to perform the essential job func...

Promoted
Mass General Brigham
Chelsea, Massachusetts

Mass General Brigham is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Chelsea, Massachusetts. Experience: - Must have minimum 2 years current nursing experience in Intensive Care Unit/ ICU required. STAFF NURSE- MEDICAL ICU/ 24 Hour NIGHT SHIFT/ Variable/ BWH 3BC MIC...

Mass General Brigham
Danvers, Massachusetts

Mass General Brigham is seeking a Registered Nurse (RN) Clinic Case Management for a nursing job in Danvers, Massachusetts. Description - External Full time case manager inpatient adult psychiatry services, Mass General Brigham -Salem Hospital, Salem M A. Excellent position for new graduates to meet...

Promoted
Mass General Brigham
Beverly, Massachusetts

Mass General Brigham is seeking a Registered Nurse (RN) Clinic Case Management for a nursing job in Beverly, Massachusetts. In addition, the staff clinician provides needed assessment, diagnosis, case management, group, family, and individual treatment of patients on the psychiatry unit. The person ...

Mass General Brigham
Boston, Massachusetts

Requirements for a Case Management RN: - RN Case Manager experience required - Be a licensed RN in the state of Massachusetts - Minimum of 2 years Med/Surg experience required - Case Manager certificate preferred - ADN required, but BSN strongly preferred - Acute hospital experience preferred. Mass ...

HealthEcareers - Client
Beverly, Massachusetts

Current Registered Nurse licensure in the State of Massachusetts Baccalaureate degree from approved Nursing School Program preferred Oncology Certification (OCN) preferred 2 or more years of ambulatory nursing experience required Effective experience with multidisciplinary teams required 1-2 years o...

Mass General Brigham
Waltham, Massachusetts

He/she works under the direct supervision of the registered professional nurse, the Pod Leader, and the Operating Room Charge Nurse. Mass General Brigham is seeking a Registered Nurse (RN) OR - Operating Room for a nursing job in Waltham, Massachusetts. Runs errands as needed and directed by registe...

HealthEcareers - Client
Boston, Massachusetts

Mass General Brigham is seeking a Registered Nurse (RN) Med Surg for a nursing job in Brighton, MA. Posted job title: Registered Nurse (Rn)/ 36Hr Nights- 6 Usen. The registered nurse renders highly professional and technical nursing care to assigned patients. The registered nurse provides direct and...

Mass General Brigham
Cambridge, Massachusetts

Location Specific Description: PACU/Ambulatory Mass Eye and Ear is currently seeking a licensed Registered Nurse (RN) for a promising position within their perioperative care unit. Mass General Brigham is seeking a Registered Nurse (RN) Med Surg for a nursing job in Cambridge, Massachusetts. The Reg...