Registered Nurse Case Manager jobs at Baystate Health - 419 jobs

Registered Nurse MNA Department: Med/Surg- Cardiac Telemetry Schedule: 36 Hours, 7p-7a, Rotating Weekends The Registered Nurse provides care that addresses the specific needs of age groups from infant to elderly and is also individualized to a variety of needs specific to impairments such as hearing, sight, substance abuse, non-English speaking, and potential victims of abuse. The Registered Nurse incorporates knowledge and understanding of our commitment to patient rights, our mission vision and values into nursing practice. The Registered Nurse assumes full and ultimate responsibility for the quality of nursing care she/he provides to individuals and groups. Included in such responsibility is health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. The Registered Nurse, within the parameters of his/her generic and continuing education experience, may delegate nursing acuities to other registered nurses and/or health care personnel, provided that the delegating Registered Nurse shall bear full and ultimate responsibility for the patient outcomes. The Registered Nurse must have excellent assessment skills, clinical skills, organizational skills, and computer knowledge and charge capabilities. The Registered Nurse must be able to lift, transfer and move patients. Must be able to communicate verbally and in writing in the English language. Able to complete mathematical computations required to perform treatment protocols. Requirements: Education: Nursing Diploma, ASN or BSN (preferred); Ability to obtain BSN within 4 years required. License/Certifications: Current RN MA license. BLS + ACLS required Experience: 1-2 years of acute Med/Surg experience strongly preferred in hospital setting Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Site: Newton-Wellesley Hospital 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 (CM) facilitates a discharge plan including the coordination of post acute care/services for patients admitted to Medical, Surgical, Pediatric, or Obstetrical Services, and as needed, for hospital outpatient areas including but not limited to the Emergency Department and Henderson Surgical Center. The CM may also oversee the coordination of care for both inpatient and outpatient of those patients identified as high risk for readmission. The CM will develop and implement discharge plans for those patients identified as needing post acute discharge services or post acute follow up in collaboration with the patient/legal representative, health care team/provider, insurer, and others, including community based organizations, as needed. The CM uses a collaborative process of assessment, planning, facilitation, and advocacy. She/he may use a high-risk screening criteria or other acceptable screening tools to determine what patients may benefit from specialized care coordination services. The CM consults and collaborates with physicians regarding medical necessity of admissions and appropriate level of care for hospitalized patients utilizing nationally accepted criteria. He/she routinely reviews patients' health records and communicates with the health care team/provider to ensure continued appropriate level of care, compliance with Federal and State regulations related to discharge planning, compliance with CMS regulations or other third party payers and appropriate utilization of hospital and medical resources. The CM completes timely and accurate insurance reviews as requested by third party payers. The CM will serve as a resource for physicians, hospital staff, and patients and their families in providing information about insurance coverage, limitations of coverage related to discharge planning, community resources, community referrals and post acute care options. He/she participates in quality and risk management case finding activities. The role requires the ability to offer creative, problem solving solutions using sound and prudent clinical judgment and within the scope of licensure and according to case management standards of practice. The CM seeks out educational and self-development opportunities related to care coordination, transitions of care, healthcare reimbursement, and other pertinent areas. Qualifications Education/Licensures/Certifications · Graduate of an accredited school of nursing. BSN preferred · Current licensure as a Registered Nurse in the Commonwealth of Massachusetts, with minimum of three years' clinical experience · Evidence of continued education and professional development. CCM or ACMA certification preferred Experience · Prior experience in the following areas: o general acute care hospital experience o healthcare reimbursement including utilization review o quality improvement o enhanced models of health care delivery · Previous acute care hospital care coordination/discharge planning required · Knowledge of the special needs and behaviors of infant, child, adolescent, adult, older adult patients preferred Skills and Abilities · Requires the ability to work independently and establish an effective relationship with physicians, office staff, and health care providers in physician's offices, community based organizations, hospitals, and other health care facilities · Requires autonomy in decision making using sound judgment based upon factual information, clinical experience, and nursing process · Requires ability to seek out and identify resources to problem solve issues · Ability to work within a multidisciplinary environment · Requires ability to be cross trained for coverage of other RN CM assignments · Requires flexibility to cover assigned shift hours as determined by departmental need · Basic computer skills including knowledge of Microsoft products and efficient data entry ability · Effective written and verbal communication skills · Excellent organizational skills Additional Job Details (if applicable) Additional Job Description Remote Type Onsite Work Location 2014 Washington Street Scheduled Weekly Hours 32 Employee Type Regular Work Shift Day (United States of America) Pay Range $41.38 - $100.00/Hourly Grade RN2600 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: 4100 Newton-Wellesley Hospital 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 **************. 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.

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. Float - 5 - 8 hour shifts and a weekend commitment Job Summary 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- 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. Qualifications 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 Additional Job Details (if applicable) Remote Type Onsite Work Location 265 Charles Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $41.72 - $105.65/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: 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 **************. 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.

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. ED/EDOU (ED Observation) units. 4 10-hour shifts 7a-5:30p most days and a few shifts of 9a-7:30p, every other weekend. Job Summary * 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-a 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. Qualifications Requirements for a Case Management RN: - RN Case Manager experience preferred Must 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 Additional Job Details (if applicable) Remote Type Onsite Work Location 55 Fruit Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $41.72 - $105.65/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: 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 **************. 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.

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. 3 - 8-hour days with a weekend commitment. Float position Job Summary * 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-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. Qualifications Requirements for a Case Management RN: - RN Case Manager experience preferred Must 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 Additional Job Details (if applicable) Remote Type Onsite Work Location 55 Fruit Street Scheduled Weekly Hours 24 Employee Type Regular Work Shift Day (United States of America) Pay Range $41.72 - $105.65/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: 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 **************. 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.

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. Every other weekend, Palliative Care 8 hours per week. Job Summary 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-a 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. Qualifications Can this role accept experience in lieu of a degree? Licenses and Credentials Registered Nurse [RN - State License] required Additional Job Details (if applicable) Default Add'l Job Description Remote Type Onsite Work Location 55 Fruit Street Scheduled Weekly Hours 8 Employee Type Regular Work Shift Day (United States of America) Pay Range $40.50 - $100.13/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: 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 **************. 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.

Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. This care manager is dedicated to handle the increased volume and to support the overall care management process and the department. Position: RN Float Case Manager Department: Care Management Schedule: Per Diem JOB REQUIREMENTS EDUCATION: Graduate of an accredited BS Program in Nursing CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: * Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts * CCM or related certification attained within 24 months from the hire date is preferred EXPERIENCE: * 3-5 years of diversified clinical experience is required * A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position KNOWLEDGE AND SKILLS: * Extensive background and knowledge of current medical/surgical patterns of practice. * Medical terminology and standard medical abbreviations. * Managed care concepts, the various health care delivery systems * Methods for assessing an individual are level of physical/mental impairment, understanding of the physical and psychological characteristics of illness, and understanding of expected treatment. * Confidentiality issues and the legal and ethical issues pertaining to them. * ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable. * Knowledge of benefits and various plan contracts, eligibility issues and requirements. * Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care Program * Excellent interpersonal, verbal and written communication and negotiations skills * Strong analytical, data management and PC skills NursingCM Compensation Range: $38.05- $75.33 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Site: Cooley Dickinson Hospital, Inc. 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. With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. Cooley Dickinson's VNA & Hospice is also a vital part of our network, providing home-based services throughout Hampshire and Franklin counties. Job Summary Schedule: per diem, scheduled as needed. May include evenings, weekends and holidays. The Case Manager is responsible for providing direction and leadership for patient progression and care coordination. In collaboration with other internal and external disciplines, the Case Manager directs and coordinates the care of patients from admission to transfer or discharge with the goal of cost-effective utilization of hospital resources, minimizing out of pocket expenses for patients, providing appropriate utilization of resources, and patient advocacy. This position reports to the Director, Case Management and Social Work and operates within established organizational and departmental policies and procedures. This position is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson Hospital. Qualifications Education * Other Certificate/Diploma Nursing required or Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - Massachusetts] - required Experience * Related clinical, continuing care, or case management experience 1-2 years preferred Knowledge, Skills and Abilities * Excellent written and oral communication skills required. * Excellent computer skills required including: MS Office, EPIC and 4Next required. * Willingness to be flexible, resourceful, and creative in problem solving required; high degree of delegation and prioritization skills required. * Excellent interpersonal and relationship building skills to effectively collaborate with multiple stakeholders to obtain staff and physician involvement and accountability in achieving specific patient outcomes required. * Demonstrated ability to orchestrate many activities and manage multiple priorities required. Additional Job Details (if applicable) Physical Requirements * Standing Frequently (34-66%) * Walking Frequently (34-66%) * Sitting Occasionally (3-33%) * Lifting Frequently (34-66%) 35lbs+ (w/assisted device) * Carrying Frequently (34-66%) 20lbs - 35lbs * Pushing Occasionally (3-33%) * Pulling Occasionally (3-33%) * Climbing Rarely (Less than 2%) * Balancing Frequently (34-66%) * Stooping Occasionally (3-33%) * Kneeling Occasionally (3-33%) * Crouching Occasionally (3-33%) * Crawling Rarely (Less than 2%) * Reaching Frequently (34-66%) * Gross Manipulation (Handling) Frequently (34-66%) * Fine Manipulation (Fingering) Frequently (34-66%) * Feeling Constantly (67-100%) * Foot Use Rarely (Less than 2%) * Vision - Far Constantly (67-100%) * Vision - Near Constantly (67-100%) * Talking Constantly (67-100%) * Hearing Constantly (67-100%) Remote Type Onsite Work Location 30 Locust Street Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Day (United States of America) Pay Range $42.32 - $73.11/Hourly Grade RN4N36 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: 1910 Cooley Dickinson Hospital, Inc. 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 **************. 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.

Site: Mass General Brigham Community Physicians, Inc. 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. The Opportunity 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. Job Summary Primary Responsibilities: * 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 on challenging cases as needed * 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 What You'll Bring Education: * Associate's Degree Nursing or Bachelor's Degree Nursing required Licenses and Credentials: * Massachusetts Registered Nurse (RN) License required Experience: * 2+ years of case management, utilization review, or discharge planning experience required * Community care experience required 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. Additional Job Details (if applicable) Schedule and Work Model * Full-time Monday through Friday, 8:30am-5pm * Hybrid: * Monthly team meetings at Assembly Row in Somerville, MA. * Must be flexible to see patients in the community and at their homes daily as needed. Remote Type Hybrid Work Location 294 Washington Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP 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: 6010 Mass General Brigham Community Physicians, Inc. 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 **************. 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.

Site: Mass General Brigham Home Care, Inc. 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. Mass General Brigham's Home Hospital program is redefining how and where acute care is delivered. We provide hospital-level care to medically complex adult patients-in the comfort of their own homes-using advanced clinical models, interdisciplinary collaboration, and innovative technology. We are seeking an experienced RN Case Manager to coordinate care, manage utilization, and support safe transitions across the continuum for patients admitted to Home Hospital. The RN Case Manager partners closely with the healthcare team, payers, patients, families, and community-based organizations to coordinate care and develop and implement individualized discharge plans. This role is ideal for an experienced RN who enjoys critical thinking, autonomy, and working at the forefront of healthcare transformation. Patient Population Home Hospital cares for adult patients with a range of acute conditions, including heart failure, COPD exacerbations, pneumonia, cellulitis, and specialty populations such as those experiencing postpartum hypertension or cirrhosis. Schedule & Work Environment This is a full-time (40 hours/week) role designed to support work-life balance, with a four-day, 10-hour schedule (7:30 AM - 6:00 PM, subject to change) and participation in a weekend rotation. The position is primarily remote, allowing you to work from home while staying closely connected to a highly collaborative interdisciplinary care team. This position offers a flexible, supportive work environment within an innovative care model. Occasional on-site time may be required for training or team meetings at Home Hospital office locations. This position is represented by the Massachusetts Nurses Association collective bargaining unit. Job Summary Essential Functions: * Identify patients who would benefit from case management services by utilizing high-risk screening criteria. * Perform comprehensive assessments that address the patient's medical condition, functional status, psychosocial needs, and discharge planning requirements, thereby enhancing patient care throughout the continuum. * Employ a collaborative process of assessment, planning, implementation, care coordination, monitoring, advocacy, and evaluation to meet the individual's health care needs * Meets patients' needs efficiently and effectively by enhancing the patient experience, upholding institutional standards for high-quality care, optimizing resource utilization, and supporting appropriate reimbursement. * Coordinate post-acute services, community resources, and follow-up care to facilitate safe and effective patient transitions. * Collaborate with the interdisciplinary care team to assess medical necessity and determine appropriate levels of care. * Conduct admission and concurrent utilization reviews using approved clinical criteria. * Complete timely and accurate insurance reviews and secure required third-party payer authorizations as required. * Identify and address any service delays or inappropriate utilization of healthcare resources. * Support initiatives to reduce readmissions by enhancing care coordination, communication, and follow-up processes. * Educate patients and families about care plans, insurance coverage, and available post-acute care options. * Ensure compliance with federal and state regulations related to discharge planning, including adherence to CMS regulations and organizational policies. * Document assessments, care plans, and ongoing case management activities in accordance with organizational policy and regulatory requirements. * Participate in quality improvement projects, audits, and special assignments as needed. Qualifications Education & Licensure * Graduate of an accredited school of nursing (BSN preferred). * Current Registered Nurse licensure in the Commonwealth of Massachusetts. * CCM or ACMA certification is preferred. Experience * At least three years of clinical nursing experience is strongly preferred. * A minimum of two years of experience in case management, utilization review, or discharge planning is strongly preferred. Additional Job Details (if applicable) * Demonstrates strong clinical judgment and independent decision-making abilities. * Effectively collaborates within a multidisciplinary care team. * Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. * Establishes strong rapport and relationships with patients, caregivers, and team members. * Manages time effectively, especially when working remotely from the care team. * Proficient in Microsoft Office, Teams, 4Next, Interqual, and other industry-related software programs. Remote Type Hybrid Work Location 75-95 Wells Ave Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $72,217.06 - $144,747.20/Annual Grade HCBRN125 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: 1410 Mass General Brigham Home Care, Inc. 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 **************. 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.

RN Case Manager Department: Care Management Schedule: Part Time, Per Diem The RN Case Manager (CM) is responsible for overseeing the appropriate level of care and collaborates with the Social Work partner regarding discharge planning with a particular focus on medically complex discharge planning. The RN CM will be assigned to selected areas of the Hospital based upon department staffing and coverage. The RN CM will collaborate with SW Care Coordinator as a team to meet the needs of the patients within unit assigned. As this is an evolving position, duties and responsibilities may vary based on specific assignments and additional tasks may be added as the position is further developed. Each staff member will participate in a departmental orientation focused on Case Management Standards of Practice. All staff will be cross-trained and oriented to the ED Case Management Practice. ESSENTIAL RESPONSIBILITIES / DUTIES: UM Reviews and Denial Support * Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers as needed. Answer questions from the insurers and continue to provide any additional clinical information they request. Timely reviews to be provided so payers have sufficient time to review case and respond quickly. * Communicate in real time with physicians on any patients not meeting criteria and establish a course of action. Work collaboratively with the MDs to help them understand documentation issues or any leveling issues. Inform physician partners on Inpatient vs. Observation criteria or acute care criteria. * Act as liaison to managed care case managers for evaluating medical management of patients, referring questions to Medical Directors and/or payers when appropriate. * Perform daily InterQual reviews on assigned patients and document when InterQual criteria is not met. Forward all reviews to insurers on a timely basis. Answer any questions from insurers. Perform concurrent denial management to resolve issues and ensure authorizations prior to discharge of patient. Inform Directors /designee regarding outcome. * Upon receipt of admitting or daily denials from insurers, review the case and provide the insurer with additional clinical information for the insurers' reconsideration. * Complete the clinical record and patient profile in Allscripts or a BMCHS-designated software tool. Utilize the Allscripts tool appropriately so all fields are complete, all clinical information is fully recorded , all changes to a patient's clinical condition are recorded, all interaction with insurers, RNs, MDs is documented, as appropriate. * Copy the Allscripts clinical information and place in medical record, as appropriate. * Finalize authorization for stay for all covered days prior to case closure. • Discharge Planning and Execution: * Review initial Admission Assessments and proposed discharge plans outlined by the SW Care Coordinator. Collaborate with SW Care Coordinator on discharge plan. Identify the patients/discharges that may be complicated and review these discharges with the Social Worker. * Coordinate and monitor discharge planning activities for an assigned patient population and provide support as needed to the SW Care Coordinator and administrative staff managing the discharge process. * Collaborate with the Interdisciplinary team to create an individualized discharge plan for high-risk patients, as needed, ensuring appropriate level of services are scheduled for the patient. * Inform PCPs, attending physicians and clinical staff on alternative discharge options including high-tech home care, skilled nursing facility capabilities, and disease management initiatives in collaboration with SW Care Coordinators. * Communicate pertinent patient information, on an as needed basis, with skilled nursing facilities, community health agencies, physicians and other staff to insure all post-acute clinical information is provided. Information to be provided on a timely basis to not delay discharge. * Be aware of disease management programs and services in existence within BMCHS to use network resources, as appropriate. Boston Medical Center South: * Provide patient education and family teaching, on an as needed basis. * Act as an advocate for the patient. * Facilitate/coordinate multidisciplinary rounds on assigned patient care units, at a minimum of Monday - Friday. * Attend UMCM meetings as appropriate Other Responsibilities: * Maintain daily tracking tools to support data reporting, including but not limited to the following list: * Avoidable Days * Saved Days * Interventions * Readmissions * Interqual criteria * Projected Discharge Date * Payer issues * Support the Care Coordination Manager/Director in maintaining the financial and clinical outcomes of the Care Coordination Department. * Support the BMC South physician network by coordinating with the BMC South ambulatory/community care coordinators to ensure patient information is communicated and the transitions of care from inpatient to outpatient is planned and in place. This function will evolve over time as the community/ambulatory care coordinators are put in place. * Identify opportunities to educate physicians on areas requiring documentation improvement and/or other improvements. * Ensure that resources are managed in a cost-effective manner while achieving positive clinical outcome * Identify service needs, systems issues and opportunities for improvement for the Department * Participate in the Hospital Quality Improvement Plan through unit and/or divisional quality control/quality improvement activities. * Report deviations in quality care to the Manager/Director of Care Coordination. * Assist with the development of clinical guidelines, as needed. * Maintain current knowledge of regulatory requirements including changes to payer requirements, reporting and regulatory requirements. * Demonstrate effective leadership skill * Attend weekly Care Coordination meetings, when scheduled to work. * Complete all paperwork required for regulations e.g., LTCF, OBRA screening, Condition/Code 44 paperwork. * Perform InterQual reviews on assigned patients and working with insurers to provide clinical information, answer questions, obtain insurance authorization for patients. * Collaborate with Social Worker (SW) Care Coordinators on the units who will be responsible for the development and execution of patient discharge plans. * Coordinate with the SW Care Coordinators for clinically difficult discharge plans. * Review reports on the Department's performance including but not limited to: LOS, clinical denials and appeal status, avoidable days, time of discharge, proper level of documentation. * Work with Care Coordination Manager/Director to develop educational needs and identify strategies to accomplish objectives of the Department (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS REQUIRED EDUCATION AND EXPERIENCE: * Graduate of an approved school of nursing. * Recent experience in acute care setting involved with clinical activities and/or a managed care environment working in case management, recent experience in a case management role or related role PREFERRED EDUCATION AND EXPERIENCE: * BSN * InterQual experience CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: * Active MA RN license CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED: * Case Management certification preferred KNOWLEDGE, SKILLS & ABILITIES (KSAs): * Excellent computer skills including managing work against performance metrics and reporting on key indicators important to the department * Strong computer skills with knowledge and proficiency with Microsoft Word, Excel and PowerPoint * Demonstrated data analytic skills. * Demonstrated skills in working collaboratively with physicians, managers and other team members * Demonstrated skills in organizing and facilitating interdisciplinary teams to ensure timely discharge * Evidence of continued professional development Compensation Range: $39.90- $57.93 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Site: VNA & Hospice of Cooley Dickinson, Inc. 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. With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. Cooley Dickinson's VNA & Hospice is also a vital part of our network, providing home-based services throughout Hampshire and Franklin counties. Job Summary Summary Under the direction of the Hospice & Palliative Care Manager and within established organizational and departmental policies and procedures, responsible for performing skilled nursing care to patients/families in accordance with the State Nurse Practice Act and accepted professional standards of practice, federal, state, and local laws and within the guidelines of his/her professional license. The R.N. delivers care to patients as delegated by the R.N. Case Manager (RN/CM) and/or Hospice & Palliative Care RN Coordinator (HPC-RNC). This position is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson VNA & Hospice. Must be able to effectively interact appropriately to an individual's intellectual level and physical ability: adolescent, adult, pediatric. Essential Functions * Provide professional nursing care under the direction of a RN/CM, HPC-RNC or Hospice & Palliative Care Manager. * Provide skilled nursing visits to patients and families, including informational or evaluation visits, admission visits, re-visits, or discharge visits. * Participate in the development of the care plan along with other Interdisciplinary Group IDG members. * Follow the plan of care and carry out interventions established by the R.N. CM. * Recognize and report changes in patient condition to the RN/CM or CTM as directed. * Communicate information on a timely basis, consistent with VNA/Hospice policy, and the urgency of the situation. * Provide care within the scope of clinical practice and level of competency (see competency policy/procedure) including: assessment of patient status, physical, psychosocial, and environmental; medication monitoring and administration; patient/family teaching; emergency intervention. * Perform skilled nursing services in homes, skilled nursing facilities, hospital, and other community settings. * Provide on-call support for patients based on needs and policy of VNA/Hospice. Rotate to weekends, evenings and holidays to maintain adequate staffing. * Supervise applicable home care team members. Perform in home supervision of Home/Hospice Care Aides according to agency policy. * Consistently demonstrate competency with nursing skills according to the legal scope of practice and VNA/Hospice policies and procedures. * Communicate effectively and in accordance with agency requirements. * Report significant changes in patient status to the RN/CM or CTM in a timely manner consistent with patient needs. * Maintain accurate clinical records showing interventions, responses and evaluations. * Document legibly and according to agency documentation guidelines and standards. * Promote personal safety and a safe environment for patients, families and team members. * Demonstrate knowledge of safety and infection control practices by compliance with agency policies and procedures. * Maintain established agency and departmental environmental standards. * Recognize and respond appropriately to potentially unsafe situations. * Demonstrate safe and competent practice in the use of equipment. * Assess safety of environment and take initiative to prevent accidents and promote safety. * Participate in all mandatory safety education per VNA/Hospice policy. * Perform job in compliance with VNA/Hospice policies and procedures, objectives and professional standards. * Accept responsibility for professional nursing role. * Follow applicable state and federal laws and agency . * Meet all visit productivity standards established by VNA/Hospice. * Attend all meetings as required. * Maintain confidentiality in all aspects of the job. Refrain from discussing patient or staff identities, conditions, or circumstances in public or with other patients. * Participate in the VNA/Hospice Quality Improvement Program and pertinent activities. * Practice nursing with respect for individual, cultural and spiritual differences. * Participate in ongoing, professional self-development. * Participate in all mandatory education per VNA/Hospice guidelines. * Evaluate own performance. * Assume responsibility to keep informed of current changes and trends in hospice / home care nursing including regulations and reimbursement requirements. * Demonstrate competency in areas of assignment or identify the need for additional training (e.g. pediatric, infusion therapy, specialized equipment). * Maintain any certifications required for the VNA/Hospice per diem RN position. * Maintain established agency, hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, compliance, safety, infection control and environmental standards. * Maintain professional growth and development through attendance at seminars, workshops, * conferences or in-services, professional affiliations or journals to stay abreast of current trends in field of expertise. * Meet annual competency and retraining requirements. * Attend meetings as required. Qualifications Education Other Certificate/Diploma Nursing required or Bachelor's Degree Nursing preferred Licenses and Credentials Class D Passenger Vehicle Driver's License [MA License] - Registered Nurse [RN - MASS License] - Experience Minimum of one (1) year of experience in a home care/hospice setting or equivalent experience required Hospice experience preferred Knowledge, Skills and Abilities * Graduate of an approved, accredited school of professional nursing required. * Demonstrated knowledge of home health/hospice regulatory and reimbursement requirements required. * Demonstrated excellent verbal and written communication skills and strong interpersonal skills required. * Demonstrated strong organizational and time management skills required. * Good driving record and reliable transportation required. Additional Job Details (if applicable) Physical Requirements * Standing Frequently (34-66%) * Walking Frequently (34-66%) * Sitting Occasionally (3-33%) * Lifting Frequently (34-66%) 35lbs+ (w/assisted device) * Carrying Frequently (34-66%) 20lbs - 35lbs * Pushing Occasionally (3-33%) * Pulling Occasionally (3-33%) * Climbing Rarely (Less than 2%) * Balancing Frequently (34-66%) * Stooping Occasionally (3-33%) * Kneeling Occasionally (3-33%) * Crouching Occasionally (3-33%) * Crawling Rarely (Less than 2%) * Reaching Frequently (34-66%) * Gross Manipulation (Handling) Frequently (34-66%) * Fine Manipulation (Fingering) Frequently (34-66%) * Feeling Constantly (67-100%) * Foot Use Rarely (Less than 2%) * Vision - Far Constantly (67-100%) * Vision - Near Constantly (67-100%) * Talking Constantly (67-100%) * Hearing Constantly (67-100%) Remote Type Hybrid Work Location 30 Locust Street Pay Range $37.01 - $53.91/Hourly Grade RN5VRN 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: VNA & Hospice of Cooley Dickinson, Inc. 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 **************. 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.

Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. This care manager is dedicated to handle the increased volume and to support the overall care management process and the department. Position: RN Float Nurse Case Manager Department: Case Management Schedule: 40 Hours (Days / 4x10 Hour Shifts / Every 6th Weekend) JOB REQUIREMENTS EDUCATION: Graduate of an accredited ASN/BSN Program in Nursing CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts CCM or related certification attained within 24 months from the hire date is preferred EXPERIENCE: 3-5 years of diversified clinical experience is required A minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position KNOWLEDGE AND SKILLS: Extensive background and knowledge of current medical/surgical patterns of practice. Medical terminology and standard medical abbreviations. Managed care concepts, the various health care delivery systems Methods for assessing an individual are level of physical/mental impairment, understanding of the physical and psychological characteristics of illness, and understanding of expected treatment. Confidentiality issues and the legal and ethical issues pertaining to them. ICD-9 and CPT nomenclature and the ability to interpret and convert this information, as applicable. Knowledge of benefits and various plan contracts, eligibility issues and requirements. Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care Program Excellent interpersonal, verbal and written communication and negotiations skills Strong analytical, data management and PC skills Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

CL Nurse Practitioner: BMC Brighton Under the supervision of a physician: Provide direct psychiatric services including comprehensive evaluation and treatment planning and delivery to patients on the Consult Liaison Service Line Provide therapeutic treatment in face-to-face evaluations Complete medical records timely per policy Provide patient medication assessment, education and management Consult with supervising physician to review patient clinical course and response to treatment and collaborate with multidisciplinary teams Respond to nursing staff concerning medical issues. Respond appropriately during unexpected events, codes, medical emergencies (i.e., seizures). Defibrillation can be done provided there is documentation of annual training (ACLS Certification). Evaluate specific minor illness and injury of patients as defined by approved medical protocols. Order safety restraints, when appropriate. Collaborate with health care professionals in the planning, implementation and coordination of health teaching and counseling of the patient, family or patient representative. Document patient level of understanding In collaboration with the Supervising Physician, the NP communicates the plan of care with all referring providers, MD of record, as well as the patient and her family. May also be responsible for coordination with other clinical staff, nurses, other physicians involved in the care of patients. The NP shall be accountable for maintaining the confidentiality of all patient related information. The NP shall abide by all policies & procedures. Comply with all OMH regulatory equipment. Required Qualifications: • Graduation from an accredited NP program, Certification as a PMHNP • Current Advance Cardiac Life Support Certification • Cardiopulmonary Resuscitation Certification • Two years' experience as an Affiliate Practitioner preferred • Current Massachusetts license to practice as a Nurse Practitioner is required • Excellent organizational and interpersonal skills • Demonstrate clinical expertise for functioning in an independent role • Excellent interpersonal relationships and communication skills for working with patients, families, and other staff • Ability to collaborate and effectively communicate with physicians and other health care professionals and support staff • Ability to be self-directed and demonstrate initiative in addressing responsibilities of the position • Ability to complete forms and other paperwork appropriately in a timely manner Compensation Range: $104,000.00- $151,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Site: Mass General Brigham Community Physicians, Inc. 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. The Opportunity: The RN Care Manager serves as a core member of the care team. The role 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. Job Summary Primary Responsibilities: * 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. * Review cases with medical directors on challenging cases as needed. * Define care goals of patients by providing education, information, and direction to each individual and family. * Maintain accurate, detailed reports and records. Qualifications Qualifications: * Associate's Degree Nursing or Bachelor's Degree Nursing required. * Registered Nurse (RN) License required. * 3+ years of RN experience required. * 2+ years of case management, utilization review, home care and/or discharge planning experience strongly 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. Additional Job Details (if applicable) Schedule and Work Model: * Full-time Monday through Friday, approximately 8:30am-5pm * Hybrid work model: Time at home / time in office depends on patient needs. Office locations are in Marblehead, Swampscott, Salem and Beverly. Remote Type Hybrid Work Location 84 Highland Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP 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: 6010 Mass General Brigham Community Physicians, Inc. 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 **************. 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.

Site: Mass General Brigham Community Physicians, Inc. 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. The Opportunity The Nurse Case Manager is assigned to the Newton/Wellesley/Needham site(s) and serves as a core member of the care team. The Case Manager 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. Job Summary Primary Responsibilities: * 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 on challenging cases as needed * 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 What You'll Bring * Associate's Degree Nursing or Bachelor's Degree Nursing required * Massachusetts Registered Nurse (RN) License required * 3+ years RN experience required * Valid Driver's License and reliable transportation required * Basic Life Support (BLS) Certification preferred * 2+ years case management, utilization review, or discharge planning experience preferred Additional Knowledge, Skills & 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) Schedule and Work Model * Full-time (40 hours) Monday through Friday, standard business hours. * Location: Newton/Wellesley/Needham * Hybrid work model. Approximately 2-3 days in the practice and field, approximately 2-3 days at home. * Remote work days require stable, secure, quiet, compliant work station. Remote Type Hybrid Work Location 1450 Highland Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP 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: 6010 Mass General Brigham Community Physicians, Inc. 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 **************. 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.

Site: The Brigham and Women's Hospital, Inc. 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. Shift: 40HR VARIABLE ROTATING Job Summary GENERAL SUMMARY OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) BWH CARE CONTINUUM 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. Prior 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. Reviews daily treatment plan with physicians, nurses and patient / families to insure interdisciplinary communication and coordination is occurring. 3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress. 4. Collaborates with other departments to expedite sequencing and scheduling of interventions, consults, treatments and ancillary services. 5. Provides for daily continuity with patients to assure patient needs related to discharge are met. 6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications. 7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on assessed patient level of care and insurance benefits. 8. Seeks assistance and/or consultation from Care Coordination leadership with plans for outlier and potential or actual resource intensive patients. 9. Interacts with internal and external health care providers to facilitate patient care including post discharge services. 10. Contributes to the development, implementation and monitoring of practice guidelines. 11. Identifies 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. 1. Assesses continuing care needs in conjunction with other caregivers. 2. Coordinates and schedules interdisciplinary meetings with the patient and family regarding discharge needs and plan as appropriate. 3. Assures patient education consistent with discharge plan has occurred. 4. Identifies service, treatment and funding options for post-hospital care. 5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge. 6. Performs patient/family follow-up after discharge to monitor and support desired outcomes. 7. Initiates 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. 1. Identifies 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. 2. Communicates as needed with third party payers regarding patient's progress with treatment plan. 3. Identifies 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. 4. Utilizing 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. 5. Conducts documented utilization reviews to insurers or intermediaries. 6. Identifies SNF and AND days for Medicare and Medicaid patients. 7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays. 8. Works with payers and physicians to concurrently address level of care concerns effecting claims and reimbursement. 9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues. 10. Serves as the primary patient information source to third party payers. Qualifications 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 case management experience required inpatient acute hospital case management experience preferred 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 Additional Job Details (if applicable) Remote Type Onsite Work Location 45 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $41.71 - $105.65/Hourly Grade MNA333 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: The Brigham and Women's Hospital, Inc. 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 **************. 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.

Site: The Brigham and Women's Hospital, Inc. 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. Shift: 40HR VARIABLE ROTATING Job Summary GENERAL SUMMARY OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) BWH CARE CONTINUUM 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. Prior 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. Reviews daily treatment plan with physicians, nurses and patient / families to insure interdisciplinary communication and coordination is occurring. 3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress. 4. Collaborates with other departments to expedite sequencing and scheduling of interventions, consults, treatments and ancillary services. 5. Provides for daily continuity with patients to assure patient needs related to discharge are met. 6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications. 7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on assessed patient level of care and insurance benefits. 8. Seeks assistance and/or consultation from Care Coordination leadership with plans for outlier and potential or actual resource intensive patients. 9. Interacts with internal and external health care providers to facilitate patient care including post discharge services. 10. Contributes to the development, implementation and monitoring of practice guidelines. 11. Identifies 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. 1. Assesses continuing care needs in conjunction with other caregivers. 2. Coordinates and schedules interdisciplinary meetings with the patient and family regarding discharge needs and plan as appropriate. 3. Assures patient education consistent with discharge plan has occurred. 4. Identifies service, treatment and funding options for post-hospital care. 5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge. 6. Performs patient/family follow-up after discharge to monitor and support desired outcomes. 7. Initiates 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. 1. Identifies 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. 2. Communicates as needed with third party payers regarding patient's progress with treatment plan. 3. Identifies 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. 4. Utilizing 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. 5. Conducts documented utilization reviews to insurers or intermediaries. 6. Identifies SNF and AND days for Medicare and Medicaid patients. 7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays. 8. Works with payers and physicians to concurrently address level of care concerns effecting claims and reimbursement. 9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues. 10. Serves as the primary patient information source to third party payers. Qualifications 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 inpatient 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 Additional Job Details (if applicable) Remote Type Onsite Work Location 45 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $41.71 - $105.65/Hourly Grade MNA333 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: 2200 The Brigham and Women's Hospital, Inc. 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 **************. 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.

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $96,137.00 - $110,510.00 - $130,728.00 Full Time- Hospital Case Manager 40 hours Day Shift The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. Job Responsibilities: Facilitates patients care plan as called for in the plan of care Leads daily patient care huddles with nursing to direct timely progress along the continuum Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients health care and transitional needs. Evaluates and ensures appropriateness of admissions and continued stay using evidence based criteria Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties Leads discussions with Physician advisors and MD's about safe plan for transitions Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan Conducts extensive assessments and implements interventions for patients at risk for readmissions Manages concurrent denials and works with physicians to overturn for appropriate reimbursement Required Work Experience: MA RN License, BSN preferred 3-5 years clinical Nursing experience Hospital Case Management, Care Coordination experience strongly preferred Certification in Case Management preferred Skills and Competencies: Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers Ability to organize and prioritize workload in order to meet deadlines Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate Excellent computer skills Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate There is weekend and holiday commitment of 6 weekends a year and 1 holiday a year. We strive to be the place where we can help you build the career you deserve - apply today - YOU belong at Baystate! Our compensation philosophy We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.