Nurse Manager jobs at Boston Medical Center - 381 jobs

The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies, regulatory requirements, and payer guidelines while supporting efficient and effective utilization review and denial management processes. The Nurse Manager collaborates with interdisciplinary teams to reduce payer denials, improve reimbursement processes, and ensure high-quality patient care. Additionally, this role provides leadership, staff training, and quality improvement initiatives while fostering a collaborative and supportive work environment. Position: Nurse Manager Department: Utilization Review/Clinical Appeal Management Schedule: 40 Hours (Days) ESSENTIAL RESPONSIBILITIES / DUTIES: 1. Leadership & Operational Management Collaborates with the Director to develop and implement Quality Assurance (QA) templates and conduct QA reviews. Implements and assists the Director in chart audits to ensure compliance and efficiency. Conducts regular one-on-one meetings with team members to provide support, coaching, and performance feedback. Approves timekeeping and schedule changes in Kronos in the Director's absence. Works with the Director and staff to resolve employee relations issues, leveraging appropriate hospital resources. 2. Training & Professional Development Provides comprehensive training for new staff and ongoing educational support for existing team members. Leads and oversees the Unit-Based Council for the UM and Clinical Appeal teams. Acts as a liaison between the UM/Appeal team and the Director for any scheduling concerns. Communicates scheduling deadlines and manages time-off requests to ensure adequate staffing levels. 3. Utilization Review & Appeals Management Serves as a resource to the UM and Appeal team for case-specific questions and complex cases. Collaborates with interdisciplinary teams to reduce barriers for complex patients and improve hospital metrics. Participates in reviewing and updating workflows, policies, and procedures annually with Director input. Provides on-call weekend coverage (days/evenings) on a rotating basis with the Director. Assumes partial UM and/or Appeal workload and provides coverage for staffing gaps as needed. 4. Quality & Compliance Conducts performance improvement audits to assess quality of services against key indicators. Ensures compliance with Medicare, Medicaid, and commercial payer regulations and hospital policies. Analyzes and evaluates the impact of UM processes on clinical and financial outcomes. Communicates with stakeholders regarding UM and appeal programs, providing data-driven insights and recommendations. 5. Team Development & Collaboration Fosters a collaborative and supportive work environment that promotes teamwork, accountability, and continuous improvement. Acts as a liaison with internal and external stakeholders, ensuring seamless communication and workflow efficiency. Acts with a high level of independence in team leadership, determining appropriate next steps for inquiries and decision-making. (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 EDUCATION: Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 years Master's Degree in Nursing or a health-care related field preferred. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Licensed to practice as a Registered Nurse in the Commonwealth of Massachusetts required CCM or related certification attained within 24 months from the hire date is preferred EXPERIENCE: Required: Minimum of 5 years of inpatient clinical nursing experience Minimum of 3 years of utilization review and denials management experience Epic and InterQual experience required Preferred: ACM-RN or CCM UKG Payroll experience preferred Experience working with vulnerable patient populations Clinical experience working with patients with multiple complex health issues Progressive leadership experience KNOWLEDGE, SKILLS & ABILITIES: Strong leadership and team management skills, including mentoring, coaching, and conflict resolution. Proficient knowledge of utilization management, denials management, performance improvement, and managed care reimbursement. Analytical abilities to interpret and apply data for process improvement. Strong problem-solving skills and the ability to work independently while exercising sound judgment. Excellent verbal and written communication skills, with the ability to educate and collaborate with diverse teams. Strong organizational and time management skills, with the ability to manage multiple priorities. Proficiency in healthcare software systems, including electronic medical records (EMRs) and workforce management tools. Understanding of hospital regulations, including compliance with Medicare, Medicaid, and commercial payer guidelines. Compensation Range: $113,500.00- $164,500.00 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.

A prominent cancer treatment institute in Massachusetts seeks a Director of Nursing Quality and Magnet Program to oversee compliance with professional standards and improve nursing practices. The ideal candidate will possess a master's degree in nursing and leadership experience in Magnet environments. This role involves collaboration with nursing leaders and promoting quality patient outcomes through innovative strategies. The position offers a competitive salary range of $193,900.00 - $204,800.00. #J-18808-Ljbffr

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $105,705.60 - $190,278.40 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8:00am-4:00pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 24050 - 0110 Nursing Admin This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. The Nurse Manager is responsible and accountable for the 24-hour planning, organizing, directing, and coordination of clinical and administrative performance of assigned unit(s). Facilitates collaboration with medical and administrative leadership to assure patient needs are met and evaluates nursing care and patient outcomes. The scope of responsibilities includes clinical and safety practices of nurses and other members of the clinical team, professional nursing practice, leadership and professional growth, human resource management, financial performance, system coordination and clinical performance (safety, satisfaction and quality) improvement. I. Major Responsibilities: Clinical Practice, Patient Flow, Patient Experience: 1. Leads with high reliability principles framework with goal of zero harm. 2. Is responsible for a positive work environment that is safe for patients, visitors and staff. 3. Accountable for clinical practice and deployment of resources at the unit level to ensure ongoing implementation of nursing process and adherence to standards. 4. Conducts daily patient care rounds, assessing patient care requirements and monitoring nursing & ancillary staff performance to achieve safe, cost effective and quality patient care. 5. Directs the oversight of clinical practice through continuity of nursing assignments to optimize the patient plan of care. 6. Responsible to oversee that the nursing process is being utilized for each patient and a plan of care is established, coordinated, and delivered to each patient and family. 7. Creates and sustains a collaborative, patient-focused environment supporting excellence in clinical and service practices. 8. Assures the efficient daily operations of assigned unit(s), including appropriate staffing levels, equipment and supplies, bed and/or examination room management, workflow and productivity to meet patient needs. 9. Implements nursing standards, policies and procedures. 10. Accountable to hold multidisciplinary rounds for team lead review of care plans on the unit with providers, nursing, and ancillary team. 11. Maintains compliance with regulatory standards including, but not limited to, JC and DPH. 12. Ensures unit-based standards of care are in accordance with departmental, organizational and/or compliance related standards. 13. Maintains and displays knowledge of current profession/clinical issues and practices through participation in professional organization and certification in field of nursing. 14. Demonstrates and role model's principles of ethical professional nursing practice. 15. Participates in Nursing Staff Organization; a shared governance model of practice through membership in nursing leadership council. Represents the department of nursing in various committees and task force activities throughout the medical center. 16. Coordinates team huddles during the day and in the evening to review new admissions, patient progression towards goals and discharge plan. Reports significant huddle outcomes to unit-director. 17. Accountable to patient experience outcomes in designated area Leadership/Management, Human Resources 1. Responsible for appropriate staffing levels, scheduling, hiring, and budgeting. 2. Assesses candidates, through behavioral and peer interviewing, for appropriate positions within the unit and makes recommendations for hire, transfers, promotions and/or other staff changes. 3. Partners with Safety Specialists for orientation of new clinical staff. 4. Provides clinical and administrative oversight of all staff and completion of specific performance reviews. 5. Assures appropriate orientation, competence assessment, in-service training and continuing education for all staff. 6. Ensures the proper documentation for recruiting, on-boarding, evaluating and terminating staff are completed timely and thoroughly. (i.e. position requisition, orientation checklist, separation). 7. Assures licensing certification for all staff is current. 8. Ensures s are reflective of current job duties and responsibilities and performance evaluations are completed for staff timely according to HR policies. 9. Fosters an awareness of the diversity that exists within the organization and strives to increase it by including culture, ethnicity, gender and age; promoting an environment that is sensitive to the needs of diverse populations. 10. Leads and influences the development of staff by creating a practice climate of responsiveness and learning which supports retention and recruitment of competent nurses and team members. 11. Develops staff by assisting them to identify goals and appropriate opportunities for learning. 12. Provides forums for individual and team recognition. 13. Coaches and supports staff by removing barriers and addressing issues. 14. Promotes communication and feedback through regularly scheduled staff meetings and other venues. 15. Informs Director and Associate Chief Nursing Officer of staff concerns. 16. Maintains current knowledge of labor and employment laws impacting staff in own unit and/or those that impact areas across the medical center. Maintains knowledge of current union contracts within own area of responsibility. 17. Establishes a climate for open, two-way communication and builds relationships at all levels of the organization. 18. Develops, implements and updates recognition initiatives valued by the unit/area. 19. Ensures and is accountable to staff participation in Nursing Staff Organization Governance councils. 20. Accountable for staff attendance at in-service programs, teaching opportunities, staff meetings and rounding. 21. Uses tools such as employee surveys to measure staff morale with a focus toward recognition and developing action plans for improvements. Budgetary Planning and Financial Performance 1. Develops annual departmental budgets based on established patient care indicators, projected volumes and patient populations. 2. Maintains cost effective staffing patterns based on department of nursing approved staffing budgets. 3. Maintains master staffing plans, position control and produces monthly staffing schedule aligned with departmental standards. 4. Demonstrates fiscal responsibility via monitoring of salaries and supply expenses, prepares and submits Corrective Action Plans on time and on schedule. 5. Develops capital budgets in collaboration with medical staff for assigned units/areas. 6. Educates staff regarding unit and medical center budgets in order to promote awareness and instill accountability for the financial performance of the unit. Seeks medical leadership and staff feedback on changes that impact such performance. 7. Prioritizes projects in line with financial goals and resource allocation of staff and material. Quality, Safety and Experience Improvements 1. Responsible for VMS safety, quality idea boards on unit. 2. Accountable for the execution of daily and shift safety and clinical care huddles. 3. Rounds on existing and new patients, addressing issues or concerns of patients and/or families on the unit. 4. Responsible for the closure of Safety Intelligence reports and appropriate Corrective Action Plans in place. Responsible for reporting all Serious Reporting Events (SRE) to leadership and provide feedback to staff on results. 5. Links departmental goals to department of nursing/organizational goals and strategic plans. 6. Actively coordinates clinical quality improvement and safety efforts on the unit with defined medical center quality and safety goals. 7. Facilitates patient flow through timely admissions and discharges in collaboration with medical staff and case management to assure proper utilization of resources. 8. Works collaboratively to solve problems, improve processes and integrate services within the department and with other departments. 9. Develops and implements service initiatives on unit using/tailoring organizational tools and programs such as Because We Care, Our Commitments, etc. 10. Creates and sustains an environment that encourages feedback, problem-solving, self-evaluation and innovation as the way work is accomplished and improvements achieved. 11. Leads patient satisfaction initiatives at the unit level to address metrics identified below target goals. 12. Actively seeks information about the underlying needs of patients, families, and employees and seeks to match those needs. 13. Collaborates with other disciplines to ensure quality and continuity of care. 14. Communicates quality and safety reports to staff and facilitates active participation of staff to improve metrics and outcome measures. 15. Communicates the importance of Nursing Quality Indicators, Patient's First Reports, Core Measures and patient satisfaction data to staff. 16. Submits data for annual PPR, corrective action plans and clinical performance metrics as identified by the Department of Nursing. 17. Articulates patient care standards as published by JC, CMS and professional nursing literature. 18. Understands, articulates, and ensures compliance with the State Nurse Practice Act, State Board of Nursing regulations, state and local regulatory agency standards and policies of the organization. 19. Supports initiatives to incorporate research and evidence-based practice knowledge into nursing practice. 20. Establishes and maintains effective relationships with community agencies, groups, professional affiliations, etc as appropriate. Encourages staff participation and support to meet community needs in conjunction with medical center initiatives. Standard Management Level Responsibilities: 1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities. 2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met. 3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved. 4. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with system-wide initiatives. 5. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc. 7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations. 8. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements. 9. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 10. Ensures adequate equipment and supplies for department. 11. Develops and maintains established departmental policies, procedures, and objectives. 12. Ensures compliance to all health and safety regulations and requirements. 13. Maintains, regular, reliable, and predictable attendance. 14. Performs similar or related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Master of Science in Nursing (MSN), or Bachelor of Science in Nursing (BSN) with employee currently enrolled in a qualified MSN program. 2. Master's Degree completion within 5 years of employment at Nurse Manager level. 3. Massachusetts Registered Nurse License. Experience/Skill: Required: 1. Broad and thorough knowledge of the discipline of Nursing. 2. Previous leadership/management experience. 3. Must possess the interpersonal and communication skills to provide effective participative leadership and to interact with patients, families, physicians, and other visitors and staff. 4. Strong analytical skills required to perform various data analysis techniques, review statistical and budgetary information and synthesize information appropriately. Preferred: 1. Minimum 3 years of directly related work experience in the field of specialty. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered moderate, frequent walking, standing, lifting and potential exposure to hazardous materials including infectious diseases. Position requires work indoors in a patient care environment. Position requires use of computer, and therefore requires ability to use keyboard, printer, various information system programs (Onestaff, Visionware, Kronos). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

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. This Nurse Manager position is essential for ensuring the safe, efficient, and high-quality delivery of obstetrics and gynecology clinical services across all locations. The role provides crucial operational oversight, including workforce management, budget adherence, and regulatory compliance, directly impacting daily clinical flow and resource allocation. By fostering a professional, supportive, and interdisciplinary environment, the Nurse Manager is instrumental in promoting staff development, enhancing patient engagement, and driving optimal, evidence-based patient outcomes. Ultimately, this leadership role is vital for aligning clinical operations with the department's strategic goals for service excellence and care coordination. We offer an outstanding benefits packages to eligible employees including… * 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. You contribute to our success. Every role has an impact on our patients' lives, and you can make a difference. We are looking for someone as dedicated as you to be a part of our team. About Mass General Hospital Mass General Hospital is a world-renowned hospital that provides the highest quality care to patients. We are a leader in medical research and education, and we are committed to delivering our employees with a rewarding and fulfilling career. Job Summary Summary Directs, plans and coordinates the service activities and staffing performance of professional nursing and auxiliary nursing personnel in rendering quality patient care. May provide direct patient care. Essential Functions Ensure the development, implementation, and evaluation of staff onboarding, training, and education. Provide ongoing coaching and performance feedback for staff. Ensures a positive work environment that is safe for patients, visitors and staff. Coordinating unit activities with other hospital departments of the hospital Develops and implements staffing plans. Required for All Jobs Performs other duties as assigned Complies with all policies and standards Does this position require Patient Care (indirect/direct)? Yes Qualifications Education Bachelor's Degree Nursing required or Master's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] required Advanced Cardiovascular Life Support [ACLS Certification] preferred Basic Life Support [BLS] Certificate preferred Experience Nursing experience 2-3 years required and Nursing leadership experience 1-2 years preferred Knowledge, Skills & Abilities Strong organizational and interpersonal skills. Must have excellent critical thinking and problem-solving skills. Strong commitment to clinical excellence. Ability to remain calm in stressful situations. Knowledgeable of the care required by respective age groups for which care is being provided. 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 $116,105.60 - $168,854.40/Annual Grade 8 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. The Post Anesthesia Care Units at MGH are comprised of 7 individual critical care areas dedicated to the care of adult and pediatric patients preceding and immediately following surgery and/or procedures requiring anesthesia. The unit operates 24 hours per day with Anesthesia and Nurse Practitioner medical coverage. This is a full-time evening position. Shift will be either be 11 AM to 9 PM or 10 AM to 8:30 PM. Bachelor's Degree Nursing required or Master's Degree Nursing strongly preferred Job Summary Summary Directs, plans and coordinates the service activities and staffing performance of professional nursing and auxiliary nursing personnel in rendering quality patient care. May provide direct patient care. Essential Functions Ensure the development, implementation, and evaluation of staff onboarding, training, and education. Provide ongoing coaching and performance feedback for staff. Ensures a positive work environment that is safe for patients, visitors and staff. Coordinating unit activities with other hospital departments of the hospital Develops and implements staffing plans. Required for All Jobs Performs other duties as assigned Complies with all policies and standards Does this position require Patient Care (indirect/direct)? Yes Qualifications Education Bachelor's Degree Nursing required or Master's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse RN - MA license required Advanced Cardiovascular Life Support [ACLS Certification] preferred Basic Life Support [BLS] Certificate preferred Experience Nursing experience 2-3 years required and Nursing leadership experience 1-2 years preferred Knowledge, Skills & Abilities Strong organizational and interpersonal skills. Must have excellent critical thinking and problem-solving skills. Strong commitment to clinical excellence. Ability to remain calm in stressful situations. Knowledgeable of the care required by respective age groups for which care is being provided. Additional Job Details (if applicable) Remote Type Onsite Work Location 267 Charles Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Evening (United States of America) Pay Range $116,105.60 - $168,854.40/Annual Grade 8 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: 1200 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.

The Nurse Manager is responsible for day-to-day patient flow and operations in a specific clinical unit. Responsibilities include coordination and supervision of assigned nursing and clinical assistant staff as they provide care to individuals receiving therapy for oncologic and hematologic problems. The Nurse Manager oversees direct patient care, including patient and family education. The Nurse Manager delegates triage of unexpected patients to the charge nurse and will modify nursing assignments, as needed, to meet the needs of patients. The Nurse Manager provides clinical leadership and management and promotes professional growth for self and staff. The Nurse Manager demonstrates systems thinking, response to diversity, collaboration, clinical judgment, clinical inquiry, facilitation of learning and advocacy for patients and staff. The Nurse Manager collaborates with the Clinical Specialist to provide clinical expertise for the unit. Specific duties and responsibilities may vary across the different programs and areas. The Nurse Manager uses theoretical, evidence-based, and experiential knowledge to advance clinical practice. The Nurse Manager serves as a mentor for clinical staff within Nursing and Patient Care Services to nurture leadership potential and to promote professional development of others. The Mission, Vision and Core values of the Dana-Farber Cancer Institute are incorporated into all areas of practices. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Job Description **Primary Duties and Responsibilities:** A. Collaboration: Has direct involvement in patient care, and practice issues, involves/recruits' diverse resources when appropriate to optimize patient outcome. Recognizes the limits to clinical judgment and seeks multidisciplinary collaboration and consultation with dynamic situations. 1. With the Nursing Director, Sr. Nursing Director or Associate Chief Nurse, maintains administrative and clinical continuity within ambulatory services. 2. Participates as an active member or substitute member for committees within the Department of Nursing and Patient Care Services requested by the Associate Chief Nurse, Nursing Director or Senior Nursing Director. 3. In collaboration with Clinical Specialist assures staff compliance with required competencies and annual requirements, ensures compliance with regulatory agency requirements. 4. Demonstrates knowledge of computer systems in use at the Institute. 5. In conjunction with Nurse Director provides input into the annual budgetary process. 6. Participates in Code Admin rotation. B. Systems Thinking: In collaboration with the Nurse Director develops, integrates and applies a variety of strategies that are driven by needs and strengths of the patient/family unit, disease center, and institute. Negotiates and navigates systems for both clients and employees. Demonstrates leadership by directing patient flow, staff allocation, and assessing system issues. 1. Develops daily staffing assignments for all clinic staff in collaboration with practice manager. 2. Supports and/or provides patient care activities as needed based on competency of role. 3. Supports and provides patient and family education. 4. Responsible for patient flow, and coordination of care with the assistance of the charge nurse. 5. Collaborates with Practice Director to ensure compliance with unit policies and procedures. 6. Assesses and intervenes to meet the needs of the patient population served. 7. Monitors the environment of care with attention to patient safety. 8. Utilizes process improvement to maintain efficient workflows. 9. Responsible for oversight of the JFC nurses in the Procedure Area. (JFC ONLY) C. Personnel Management (Advocacy): Supports care of patient, family and community by careful attention to include the DFCI mission in all decision making and reflect mutually and competent patient/professional relationships. 1. Supervises RN's, clinic assistants and phlebotomists as direct reports. a. Number of supervision responsibilities dependent on unit and clinical oversight responsibilities; determined in conjunction with the Nurse Director, Sr. Nurse Director and Associate Chief Nurse as applicable. 2. In conjunction with the ND oversees the hiring, orientation, evaluation, coaching and mentoring of staff in accordance with Human Resource policies and the MNA collective barging agreement. 3. In collaboration with Clinical Specialists, provides unit based training/education/in-services/orientation. 4. Promotes and encourages professional growth and leadership potential of staff. D. Clinical Inquiry: Improves or individualizes standards and guidelines for person or population, with attention to current practice, review of literature, research, and education, with acquired knowledge and skills needed to address questions arising in practice and improve patient care. 1. Assists with development, implementation and monitoring of unit-based quality improvement, safety and patient satisfaction activities that are consistent with the goals of the Department of Nursing and Patient Care Services. 2. Facilitates continuous quality improvement in processes and services as directed. E. Clinical Judgment: Synthesizes and interprets multiple, sometimes conflicting sources of data, can make judgment based on immediate understanding of situation, patient experience. 1. Serves as unit based clinical expert. 2. Coordinates and participates in unit based audits and monitoring of nursing quality indicators. 3. Participates in the development of professional nursing practice and standards. 4. Maintains practice that is evidence-based and consistent with nursing policies, procedures, and standards. 5. Fosters a systematic awareness of the diversity that exists within the organization including but not limited to culture, ethnicity, gender, and age, and promotes an environment that is sensitive to the needs of diverse patient populations. 6. Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role. F. Facilitator of Learning: Seeks opportunities to teach, coach, and mentor, and to be taught, coached and mentored. Adapts educational objectives to both the patient population and the staff that serve them. Creatively modifies an individual's need, to create an environment of success. 1. Participates in professional organizations and community activities. 2. Participates in continuing education and role development: a. Demonstrates an understanding of the clinical research process. b. Identifies personal goals in professional and educational activities that promote self-development. 3. Functions in the leadership role: a. Works collaboratively with all members of the floor leadership multidisciplinary team. b. Serves as a role model for effective communication, problem solving, and conflict resolution for members of the team. c. Supports the research and evidence- based practice activities of Nursing and Patient Care Services. **Knowledge, Skills and Abilities:** 1. Critical thinking, collaboration and excellent communication skills. 2. Clinical resource regarding the administration of chemotherapy and blood products. 3. Demonstrates understanding of special needs and behaviors of age groups of the population served: young adult to geriatric. **Minimum Job Qualifications:** Baccalaureate degree required; Baccalaureate degree in nursing preferred. Master's degree required or intent to enroll into program within 6 months of hire. 3 years of oncology experience required; leadership or charge nurse experience preferred. **License/Certification/Registration Required:** Licensed as a Registered Nurse in the Commonwealth of Massachusetts. Certification in Oncology Nursing, OCN, ACON, or CPON strongly preferred. **Supervisory Responsibilities:** Yes, provides direct supervision to RN's, Clinic Assistants, and other support personnel. Number and role supervised may vary. **Patient Contact:** Yes At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. **EEO Poster** . Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA). $170,000.00 - $182,500.00

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. Position supports Interventional Radiology and Cardiovascular Procedures Department (not a Cath Lab) Job Summary Directs, plans and coordinates the service activities and staffing performance of professional nursing and auxiliary nursing personnel in rendering quality patient care. May provide direct patient care. Essential Functions Ensure the development, implementation, and evaluation of staff onboarding, training, and education. Provide ongoing coaching and performance feedback for staff. Ensures a positive work environment that is safe for patients, visitors and staff. Coordinating unit activities with other hospital departments of the hospital Develops and implements staffing plans. Required for All Jobs Performs other duties as assigned Complies with all policies and standards Does this position require Patient Care (indirect/direct)? Yes Qualifications Education Bachelor's Degree Nursing required or Master's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] required Advanced Cardiovascular Life Support [ACLS Certification] preferred Basic Life Support [BLS] Certificate preferred Experience Nursing experience 2-3 years required and Nursing leadership experience 1-2 years preferred Experience in Intervention Radiology and Cath Lab preferred Knowledge, Skills & Abilities Strong organizational and interpersonal skills. Must have excellent critical thinking and problem-solving skills. Strong commitment to clinical excellence. Ability to remain calm in stressful situations. Knowledgeable of the care required by respective age groups for which care is being provided. 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 2014 Washington Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $108,992.00 - $158,600.00/Annual Grade 8 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 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. Job Summary Bed Access Nurse Manager / Full Time-40 Hours / BWH Boston Main Campus Job Summary: This position involves managing capacity and access, ensuring safe, efficient, and timely patient care, and working to coordinate and optimize all incoming hospital transfers and referrals for the system and triage patients, reducing transfer delays, balancing the flow of transfers, and coordinating standardized transfer pathways. Essential Functions: Elicits patient information from referring MD and outside facility nurse to allow appropriate patient triage and placement. * Using triage tools and algorithms, working in collaboration with patient access services and others to transfer the patient in a clinically appropriate timeframe. * Acts as a liaison to provide and ensure continuity of care for the patient and family and is a clinical resource for the financial navigator. * Assessment of patients and families before their initial consultation requires initial nursing assessment, which may include intake, diagnosis, history, physical symptoms, psychosocial assessment, cultural assessment, and educational needs. * Collaborates with and coordinates providers and support staff to facilitate appropriate decision-making that will provide complete and comprehensive care to the patient and family. * Utilizes established systems to document the reason for visit, testing ordered/completed, referrals made, and current medication list. Qualifications Education: * Bachelor's Degree Nursing required. * This role cannot this role accept experience in lieu of a degree. Licenses and Credentials: * Registered Nursing License in Massachusetts is Required Experience: * Clinical nursing experience 2-3 years required. * Patient flow, access nurse, or bed control experience 1-2 years preferred. Knowledge, Skills and Abilities: * Possesses interpersonal skills to interact effectively with intra-inter and outside-hospital physicians and personnel. * Strong theoretical and experiential knowledge of nursing practices. * Must possess skills to work well independently and have sound decision-making skills. * Possesses the ability to manage critical issues relating to patient care and changing organizational climate. Additional Job Details (if applicable) Remote Type Onsite Work Location 75 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $72,425.60 - $140,348.00/Annual Grade 6NTEMP 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.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $101,025.60 - $181,854.40 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: days/eves Shift: 1 - Day Shift, 9 Hours (United States of America) Hours: 36 Cost Center: 10020 - 1545 PAV 4 and 5 This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position is accountable for assessing, planning, directing and evaluating patient care in the area of responsibility. Ensures adherence to HealthAlliance policies and procedures and supports and fosters the mission and vision of the HealthAlliance system. Responsible for the quality of care provided to patients and the processes that lead to continuous performance improvement. The role includes clinical practice, staff development and continuing education, management and leadership, consultation and research. Works with members of administration, physicians, and other members of the interdisciplinary team to ensure lines of communication are open and processes for problem resolution are in place. I. Major Responsibilities: 1. Completes staffing for the department and weekly payroll submission based on MNA and SEIU contract guidelines. 2. Focuses on performance improvement initiatives. 3. Responsible for auditing nursing documentation and maintaining adherence to HAH documentation standards. 4. Maintains compliance with Core Measures. 5. Develops a state of constant readiness for Regulatory Agency Surveys and provision of maximum levels of service excellence. Standard Management Level Responsibilities: 1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities. 2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met. 3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved. 4. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation, and fosters the effective integration of efforts with system-wide initiatives. 5. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc. 7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations. 8. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements. 9. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 10. Ensures adequate equipment and supplies for department. 11. Develops and maintains established departmental policies, procedures, and objectives. 12. Ensures compliance to all health and safety regulations and requirements. 13. Maintains, regular, reliable, and predictable attendance. 14. Performs similar or related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Bachelor of Science in Nursing (BSN) 2. Registered Nurse licensed to practice in the Commonwealth of Massachusetts 3. BLS certified 4. Certifications required per specialty might include ACLS, NRP, PALS etc. Preferred: 1. Master's Degree 2. National certification in specialty Experience/Skills: Required: 1. Minimum five (5) years of experience in specialty nursing with at least three (3) years of supervisory experience 2. Extensive knowledge of specialty practices, standards and trends as well as the ability to keep current on new efforts 3. Must possess excellent interpersonal and written communication skills 4. Knowledge of TJC, OSHA, HCFA and EMTALA regulations as well as standards of care from pertinent specialty organizations 5. Demonstrated leadership 6. Ability to read, write and speak clearly in English. Preferred: 1. Experience in professional development Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Constantly: - Repetitive movements, working indoors, high stress level, color vision, - Precise motor skills, hearing, vision Frequently: - Standing, walking, pushing, reaching, grasping - Lifting, carrying, pulling, pushing 0-20 pounds Occasionally: - Sitting, pulling, twisting, bending, kneeling - Lifting, carrying, pulling, pushing 20-50 pounds All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $101,025.60 - $181,854.40 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: Four days per week- 7:00am-4:00pm Shift: 1 - Day Shift, 9 Hours (United States of America) Hours: 36 Cost Center: 10010 - 0708 Maternity Delivery This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for directing and coordinating daily departmental function and planning for delivery of the highest quality of safe patient care. Collaborates with the Nurse Manager and/or designee to manage and direct the implementation of professional nursing practice on a daily basis. I. Major Responsibilities: 1. Coordinates age-appropriate patient care activities for a defined staff and makes immediate decisions for those areas within the scope of his/her responsibility using knowledge of standards, policies and procedures as they apply to the given area. 2. Conducts daily patient care rounds, assessing patient care requirements and monitoring nursing staff performance. Reviews documentation and addresses non-compliant standards with staff. 3. Assists with the coordination of patient satisfaction initiatives on the unit. Evaluates performance through patient and family interviews and review of HCAPS (Hospital Consumer Assessment of Healthcare Providers and Systems) reports. Communicates with staff recognizing achievements and identifying opportunities for improvement. 4. Coordinates daily operations to assure appropriate staffing, optimal patient flow, bed management, and productivity to meet or exceed budget. Keeps nurse manager informed of nursing workload, changes in patient and/or employee needs. 5. Collaborates with the nursing leadership team in the strategic planning, implementation, evaluation, and revision of systems to support and enhance the competence, autonomy, and accountability of the nursing staff. 6. Assists Manager and/or designee to ensure the department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 7. Participates in the development of goals, objectives, policies and procedures for efficient departmental operations. 8. Identifies issues and seeks resolution to problems. Utilizes analytical and critical thinking in decision making and judgment that is aligned with organizational objectives. 9. Participates in monitoring resources. Notifies nurse manager of risk management issues and follows up with appropriate staff as necessary. 10. Provides input to the preparation of the annual budget and capital equipment budget. 11. Serves as a role model, coach and facilitator. Inspires and encourages teamwork. 12. Fosters a collaborative professional relationship with other hospital departments/staff, physicians, and managers to ensure best practice is the focus for all patient-centered quality care. 13. Assists the Nurse Manager with personnel responsibilities including, but not limited to, interviewing, hiring, performance evaluations, scheduling, orientation, annual regulatory and clinical competency requirements. Provides immediate disciplining and counseling to staff as necessary. Makes recommendations to Nurse Manager regarding need for further disciplinary action as necessary. 14. Assists manager in ensuring compliance with regulatory agencies such as Joint Commission, DPH, etc. Assists in development and maintenance of procedures and processes necessary to meet regulatory requirements. 15. Participates in staff meetings, sharing system wide goals and objectives with front line staff and links their daily work to the mission and vision and strategic goals of the organization. 16. Attends nursing leadership and manager meetings. Participates in committees and taskforce teams as a representative of the Department of Nursing. Attends conferences and seminars as required or directed for facilitation of professional development. Standard Management Level Responsibilities: 1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities. 2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met. 3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved. 4. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation, and fosters the effective integration of efforts with system-wide initiatives. 5. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc. 7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations. 8. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements. 9. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 10. Ensures adequate equipment and supplies for department. 11. Develops and maintains established departmental policies, procedures, and objectives. 12. Ensures compliance to all health and safety regulations and requirements. 13. Maintains, regular, reliable, and predictable attendance. 14. Performs similar or related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Registered Nurse licensure and registration. 2. Bachelor's degree in nursing or management experience. Experience/Skill: Required: 1. Minimum of two years related clinical experience and at least one year experience in the clinical preceptor and/or resource role. 2. Demonstrates leadership experience. 3. Excellent verbal and written communication skills. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered moderate, frequent walking, standing and potential exposure to hazardous materials including blood and bodily fluids. Position requires work indoors in a patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

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. Inspire, Educate, and Lead: Nursing Practice Specialist - Blake 12 Multidisciplinary ICU Are you passionate about empowering nurses and shaping the future of critical care? Join Blake 12, an 18-bed multidisciplinary ICU at the forefront of innovation, where you'll not only care for the most complex patients-including abdominal and lung transplant cases-but also ignite the professional journeys of nurses at every stage. What Makes This Role Exceptional? * Champion of Nurse Education: As a Nursing Practice Specialist, you'll be the driving force behind continuous learning. You'll help to deliver education that is grounded in evidence-based practice, mentor new and experienced nurses, and create hands-on opportunities for skill advancement. This role incorporates the ability to oversee professional development and education of all staff while also being able to do real-time bedside teaching. You'll ensure every nurse has the tools and confidence to excel. * Mentor and Role Model: Inspire up-and-coming nurses by sharing your expertise in critical care, transplant, and advanced therapies. Through collaborative consultation and role modeling, you'll nurture clinical excellence and compassionate care, helping nurses grow into leaders themselves. * Innovator in Practice: Lead the way in evidence-based care by integrating the latest research, technology, and best practices. You'll guide the team in adopting new protocols, solving complex challenges, and continuously improving patient outcomes. * Collaborative Leader: Work side-by-side with the Nursing Director and a multidisciplinary team to foster a culture of support, inclusion, and professional development. Your leadership will motivate others, manage change, and build strong partnerships across all levels of care. Key Responsibilities: * Deliver expert clinical consultation and support for complex patient care. * Identify learning needs and develop impactful educational programs for nurses and students. * Facilitate advanced clinical skill acquisition through hands-on teaching and mentorship. * Champion research, quality improvement, and evidence-based practice initiatives. * Promote a culture of lifelong learning, peer support, and professional networking. Qualifications: * Master's degree in nursing (required) * Current Massachusetts RN license * At least 5 years of critical care nursing experience; transplant experience a plus * Demonstrated leadership and a passion for education * Certification in critical care nursing (preferred) Why Blake 12? Here, you'll do more than practice nursing-you'll shape the future of the profession. If you're an energetic leader eager to make a lasting impact on patients and colleagues alike, we invite you to join our team and help every nurse reach their full potential. Job Summary Summary Responsible for developing educational programs, clinical decision-making, management of quality outcomes, and participation in research activities. Provide patient care in the clinical environment, health promotion, disease prevention, health education, and patient and family counseling activities. Essential Functions Provides expert-level consultation and advises clinical staff on the formulation of diagnoses and treatment plans for patients and families. Plans and delivers relevant staff and patient education to nurses and other members of the health care team on matters regarding plan of care for patient and family. Actively participates in research and evidence-based practice activities that will positively affect patient care outcomes. Provide health care services to patients. Forming a diagnosis and management and treatment of illness and disease. Required for All Jobs Performs other duties as assigned Complies with all policies and standards Does this position require Patient Care (indirect/direct)? Yes Qualifications Education Bachelor's Degree Nursing required and Master's Degree Nursing required Can this role accept experience in lieu of a degree? Licenses and Credentials Registered Nurse [RN - State License] preferred Clinical Nurse Specialist [CNS] [State License] preferred Experience Clinical nursing experience 3-5 years required and Clinical education experience 2-3 years preferred and Nursing leadership experience 1-2 years preferred Knowledge, Skills & Abilities In-depth knowledge of clinical nursing care practices and principles. Strong clinical assessment and critical thinking skills. Proficiency in developing and implementing evidence-based care plans. Excellent communication and interpersonal skills to collaborate effectively with interdisciplinary teams, patients, and families. Leadership abilities to provide guidance, mentorship, and education to nursing staff. Ability to stay updated on the latest advancements in nursing skills and patient care through continuous learning and professional development. Additional Job Details (if applicable) Remote Type Onsite Work Location 273 Charles Street Scheduled Weekly Hours 16 Employee Type Regular Work Shift Day (United States of America) Pay Range $46.78 - $115.70/Hourly Grade GHCBRN59B 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: 1200 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.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $111,384.00 - $200,491.20 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 0700 1500 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 10010 - 1242 Newborn Nursery ICU This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. The Nurse Manager is responsible and accountable for the 24-hour planning, organizing, directing, and coordination of clinical and administrative performance of assigned unit(s). Facilitates collaboration with medical and administrative leadership to assure patient needs are met and evaluates nursing care and patient outcomes. The scope of responsibilities includes clinical and safety practices of nurses and other members of the clinical team, professional nursing practice, leadership and professional growth, human resource management, financial performance, system coordination and clinical performance (safety, satisfaction and quality) improvement. I. Major Responsibilities: Clinical Practice, Patient Flow, Patient Experience: 1. Leads with high reliability principles framework with goal of zero harm. 2. Is responsible for a positive work environment that is safe for patients, visitors and staff. 3. Accountable for clinical practice and deployment of resources at the unit level to ensure ongoing implementation of nursing process and adherence to standards. 4. Conducts daily patient care rounds, assessing patient care requirements and monitoring nursing & ancillary staff performance to achieve safe, cost effective and quality patient care. 5. Directs the oversight of clinical practice through continuity of nursing assignments to optimize the patient plan of care. 6. Responsible to oversee that the nursing process is being utilized for each patient and a plan of care is established, coordinated, and delivered to each patient and family. 7. Creates and sustains a collaborative, patient-focused environment supporting excellence in clinical and service practices. 8. Assures the efficient daily operations of assigned unit(s), including appropriate staffing levels, equipment and supplies, bed and/or examination room management, workflow and productivity to meet patient needs. 9. Implements nursing standards, policies and procedures. 10. Accountable to hold multidisciplinary rounds for team lead review of care plans on the unit with providers, nursing, and ancillary team. 11. Maintains compliance with regulatory standards including, but not limited to, JC and DPH. 12. Ensures unit-based standards of care are in accordance with departmental, organizational and/or compliance related standards. 13. Maintains and displays knowledge of current profession/clinical issues and practices through participation in professional organization and certification in field of nursing. 14. Demonstrates and role model's principles of ethical professional nursing practice. 15. Participates in Nursing Staff Organization; a shared governance model of practice through membership in nursing leadership council. Represents the department of nursing in various committees and task force activities throughout the medical center. 16. Coordinates team huddles during the day and in the evening to review new admissions, patient progression towards goals and discharge plan. Reports significant huddle outcomes to unit-director. 17. Accountable to patient experience outcomes in designated area Leadership/Management, Human Resources 1. Responsible for appropriate staffing levels, scheduling, hiring, and budgeting. 2. Assesses candidates, through behavioral and peer interviewing, for appropriate positions within the unit and makes recommendations for hire, transfers, promotions and/or other staff changes. 3. Partners with Safety Specialists for orientation of new clinical staff. 4. Provides clinical and administrative oversight of all staff and completion of specific performance reviews. 5. Assures appropriate orientation, competence assessment, in-service training and continuing education for all staff. 6. Ensures the proper documentation for recruiting, on-boarding, evaluating and terminating staff are completed timely and thoroughly. (i.e. position requisition, orientation checklist, separation). 7. Assures licensing certification for all staff is current. 8. Ensures s are reflective of current job duties and responsibilities and performance evaluations are completed for staff timely according to HR policies. 9. Fosters an awareness of the diversity that exists within the organization and strives to increase it by including culture, ethnicity, gender and age; promoting an environment that is sensitive to the needs of diverse populations. 10. Leads and influences the development of staff by creating a practice climate of responsiveness and learning which supports retention and recruitment of competent nurses and team members. 11. Develops staff by assisting them to identify goals and appropriate opportunities for learning. 12. Provides forums for individual and team recognition. 13. Coaches and supports staff by removing barriers and addressing issues. 14. Promotes communication and feedback through regularly scheduled staff meetings and other venues. 15. Informs Director and Associate Chief Nursing Officer of staff concerns. 16. Maintains current knowledge of labor and employment laws impacting staff in own unit and/or those that impact areas across the medical center. Maintains knowledge of current union contracts within own area of responsibility. 17. Establishes a climate for open, two-way communication and builds relationships at all levels of the organization. 18. Develops, implements and updates recognition initiatives valued by the unit/area. 19. Ensures and is accountable to staff participation in Nursing Staff Organization Governance councils. 20. Accountable for staff attendance at in-service programs, teaching opportunities, staff meetings and rounding. 21. Uses tools such as employee surveys to measure staff morale with a focus toward recognition and developing action plans for improvements. Budgetary Planning and Financial Performance 1. Develops annual departmental budgets based on established patient care indicators, projected volumes and patient populations. 2. Maintains cost effective staffing patterns based on department of nursing approved staffing budgets. 3. Maintains master staffing plans, position control and produces monthly staffing schedule aligned with departmental standards. 4. Demonstrates fiscal responsibility via monitoring of salaries and supply expenses, prepares and submits Corrective Action Plans on time and on schedule. 5. Develops capital budgets in collaboration with medical staff for assigned units/areas. 6. Educates staff regarding unit and medical center budgets in order to promote awareness and instill accountability for the financial performance of the unit. Seeks medical leadership and staff feedback on changes that impact such performance. 7. Prioritizes projects in line with financial goals and resource allocation of staff and material. Quality, Safety and Experience Improvements 1. Responsible for VMS safety, quality idea boards on unit. 2. Accountable for the execution of daily and shift safety and clinical care huddles. 3. Rounds on existing and new patients, addressing issues or concerns of patients and/or families on the unit. 4. Responsible for the closure of Safety Intelligence reports and appropriate Corrective Action Plans in place. Responsible for reporting all Serious Reporting Events (SRE) to leadership and provide feedback to staff on results. 5. Links departmental goals to department of nursing/organizational goals and strategic plans. 6. Actively coordinates clinical quality improvement and safety efforts on the unit with defined medical center quality and safety goals. 7. Facilitates patient flow through timely admissions and discharges in collaboration with medical staff and case management to assure proper utilization of resources. 8. Works collaboratively to solve problems, improve processes and integrate services within the department and with other departments. 9. Develops and implements service initiatives on unit using/tailoring organizational tools and programs such as Because We Care, Our Commitments, etc. 10. Creates and sustains an environment that encourages feedback, problem-solving, self-evaluation and innovation as the way work is accomplished and improvements achieved. 11. Leads patient satisfaction initiatives at the unit level to address metrics identified below target goals. 12. Actively seeks information about the underlying needs of patients, families, and employees and seeks to match those needs. 13. Collaborates with other disciplines to ensure quality and continuity of care. 14. Communicates quality and safety reports to staff and facilitates active participation of staff to improve metrics and outcome measures. 15. Communicates the importance of Nursing Quality Indicators, Patient's First Reports, Core Measures and patient satisfaction data to staff. 16. Submits data for annual PPR, corrective action plans and clinical performance metrics as identified by the Department of Nursing. 17. Articulates patient care standards as published by JC, CMS and professional nursing literature. 18. Understands, articulates, and ensures compliance with the State Nurse Practice Act, State Board of Nursing regulations, state and local regulatory agency standards and policies of the organization. 19. Supports initiatives to incorporate research and evidence-based practice knowledge into nursing practice. 20. Establishes and maintains effective relationships with community agencies, groups, professional affiliations, etc as appropriate. Encourages staff participation and support to meet community needs in conjunction with medical center initiatives. Standard Management Level Responsibilities: 1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities. 2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met. 3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved. 4. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with system-wide initiatives. 5. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc. 7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations. 8. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements. 9. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 10. Ensures adequate equipment and supplies for department. 11. Develops and maintains established departmental policies, procedures, and objectives. 12. Ensures compliance to all health and safety regulations and requirements. 13. Maintains, regular, reliable, and predictable attendance. 14. Performs similar or related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Master of Science in Nursing (MSN), or Bachelor of Science in Nursing (BSN) with employee currently enrolled in a qualified MSN program. 2. Master's Degree completion within 5 years of employment at Nurse Manager level. 3. Massachusetts Registered Nurse License. Experience/Skill: Required: 1. Broad and thorough knowledge of the discipline of Nursing. 2. Previous leadership/management experience. 3. Must possess the interpersonal and communication skills to provide effective participative leadership and to interact with patients, families, physicians, and other visitors and staff. 4. Strong analytical skills required to perform various data analysis techniques, review statistical and budgetary information and synthesize information appropriately. Preferred: 1. Minimum 3 years of directly related work experience in the field of specialty. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered moderate, frequent walking, standing, lifting and potential exposure to hazardous materials including infectious diseases. Position requires work indoors in a patient care environment. Position requires use of computer, and therefore requires ability to use keyboard, printer, various information system programs (Onestaff, Visionware, Kronos). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Site: Mass General Brigham Health Plan Holding Company, 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. Job Summary The role is an integral part of our Appeals and Grievance review process and will ensure clinical/pharmacy appeal case reviews meet contractual, regulatory, and business goals. The position collaborates with members of the Appeal and Grievance team, pharmacy team, and medical director teams to resolve all types of clinical issues across the clinical/pharmacy appeal landscape. Essential Functions * In conjunction with other appeal team members, ensures that clinical/pharmacy appeals and grievances are resolved in a timely manner to meet regulatory timeframes. * Directly interact with providers and their staff to obtain additional clinical information as well as with members or their advocates to understand the full intent of the appeal or clinical grievance. * Review clinical/pharmacy appeal cases and provide recommendations to the medical director team based on analysis of the clinical material. * Interact closely with pharmacy staff on pharmacy-related reviews in preparation for physician review if needed * Identify cases that may require specialty review and expedite submission of cases to our contracted vendor (s) for this purpose * Analyze and complete written summaries on clinical cases. * Maintain compliance with all required turnaround times * Maintain compliance with all regulatory and NCQA requirements with regards to this important work Qualifications Job Description Education * Bachelor's Degree required Licenses and Credentials * Massachusetts Registered Nurse (RN) required Experience * At least 3-5 years of experience in clinical appeals, grievances, utilization review, or related healthcare services required * At least 2-3 years of clinical experience required Preferred * 5 years of experience working with members, providers, and internal staff on complex and sensitive requests for clinical services * 5 years of experience working in multiple data systems * Experience with multiple product lines, including Commercial, Exchange, Medicaid, and Medicare Advantage * Familiarity with InterQual Criteria * Knowledge of Medicare national and local coverage determinations Knowledge, Skills, and Abilities * Strong analytical and critical thinking skills. * Excellent verbal and written communication abilities. * Proficient in using electronic health records (EHR) and billing systems. * Detail-oriented with strong organizational skills. * Ability to handle sensitive information with confidentiality and professionalism. * Strong interpersonal skills to work effectively with various stakeholders. Additional Job Details (if applicable) Working Conditions * While a remote role, this team meets every quarter at the office at Assembly Row in Somerville and attendance is highly encouraged. * The typical schedule for this role is Monday through Friday role with a schedule of 8:30 to 5 PM EDT * This role includes an on-call component where you would be on-call on weekends, roughly every 6 weeks Remote Type Remote Work Location 399 Revolution Drive Pay Range $62,400.00 - $90,750.40/Annual Grade 6 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: 8925 Mass General Brigham Health Plan Holding Company, 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. Job Summary Responsible for oversight and management of the radiology department. Ensures smooth operations management of the department, effective budgetary and strategic results, and subject matter expert. Qualifications Summary * Responsibilities include compliance of regulatory and industry trends as well as education of radiology changes and improvements for staff and other leadership. Does this position require Patient Care? * Yes Essential Functions * Provide operations management, identify operational inefficiencies, operational flow, quality improvement, performance measurement, and implementation of new practices * Ensure compliance with patient care quality standards and all related regulatory requirements * Management of clinical staff, staff scheduling, triage duties, and is a resource to staff * Development of fiscal operating budget, ongoing assessment, investigating practices to remain within the budget and opportunities for improvement, and assists in variance reporting * Management of clinical activities for students to ensure they are meeting core curriculum requirements and encourage opportunities for future employment within MGB * Ensures compliance of all regulatory obligations (federal, state, etc.) and industry trends Education * Associate's Degree Diagnostic Imaging required or Bachelor's Degree Health Sciences preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials * Registered Technologist [ARRT-R] - American Registry of Radiologic Technologists (ARRT) preferred * Basic Life Support [BLS Certification] * Radiologic Technologist [MA License] Experience * Radiology Technologist experience with multiple patient populations 5-7 years required * Leadership experience 2-3 years required Knowledge, Skills and Abilities * Strong communication skills. * Ability to effectively evaluate and problem solve. * Ability to guide, teach, and motivate others. * Strong business acumen skills. 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 75 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $116,105.60 - $168,854.40/Annual Grade 8 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. NURSING ADMINISTRATOR/ Per Diem / BWH NURSING ADMINISTRATION GENERAL OVERVIEW: * The Nursing Administrator is a professional nurse responsible for providing administrative direction and leadership to nursing staff and is directly responsible to the Executive Director, Clinical Nursing. * The role requires clinical and management expertise and the ability to coordinate inter and intradepartmental activities. * Rotating - every other weekend. Job Summary PRINCIPAL DUTIES AND RESPONSIBILITIES: A. Patient Care Organization 1. Assists with directing the operations of the Nursing Department on the off-shift. 2. Collaborates with the off-shift nursing resources to ensure quality patient care. 3. Collaborates with other departments to ensure resource availability for patient care needs on the off-shift, i.e., triaging AOC, BioMed, Occ Health (needlesticks) B. Quality of Care 1. Serves as consultant and resource to staff and professional colleagues regarding administrative issues. 2. Participates in professional, institutional and community organizations. 3. Works collaboratively with other departments to monitor overall quality standards of the off-shift. 4. Applies theoretical and experiential knowledge of nursing to plan for needs of patients in collaboration with Primary Nurse. 5. Implements, reviews and revises patient care policies and nursing standards to ensure compliance of the nursing staff. 6. Directs operations by providing guidance to the nursing, medical, and support staff on the off-shift. C. Coordination 1. Establishes and maintains effective professional relationships with interdepartmental personnel, professional staff, and the community. 2. Serves on Nursing Committees and Task Forces, Institution wide and Interdisciplinary. 3. Provides feedback to Executive Director/Nursing Director regarding the overall functioning of unit. 4. Provides feedback to other managers regarding functioning of their department. 5. Facilitates allocation of central resources in collaboration with staffing coordinators. D. Financial Plan 1. Assists with the development of financial proposals to support programs identified for the off-shift. 2. Assists with the implementation and monitoring of the above programs. 3. Assists in determining cost effective strategies for patient care delivery. 4. Actively participates in the Department Financial plan: developing and managing the implementation and evaluation. E. Personnel Management 1. Participates in the development of personnel policies for BWH. 2. Assists in administration of personnel programs, including communication and implementation of personnel policies. 3. Performs administrative functions for the Nursing Department as assigned; including hiring, evaluating, disciplining, and terminations. F. Education 1. Contributes to and encourages educational and professional development of staff nurses by assisting them to identify and meet their learning needs. 2. Assists in coordination of educational programs specific to unit/department needs. G. Research 1. Demonstrates awareness of contemporary nursing research and works with nursing staff to develop skill in the interpretation, application and utilization of research findings to the clinical setting. 2. Initiates and participates in nursing studies in the department Qualifications QUALIFICATIONS: 1. Graduate of an approved School of Nursing, Bachelor of Science in Nursing (BSN) and Master's Degree in Nursing or related field required. 2. Current RN licensure in Commonwealth of Massachusetts required. 3. Five years of clinical nursing experience required. 4. Current nurse administrator experience preferred. 5. Leadership experience preferred. SKILLS AND ABILITIES REQUIRED: 1. Demonstrates excellent interpersonal skills in dealing with patients and families, nursing staff and other disciplines in all situations encountered. 2. Must have demonstrated ability in management of diverse activities associated with operated the Nursing Department. 3. Must possess solid clinical skills in order to provide direction, information, and explanation to all levels of hospital management and staff. 4. Must possess communication skills adequate to provide necessary direction, information, and explanation to all levels of hospital management and staff. 5. BSN and a Master's degree in nursing or a related field 6. Previous Nursing Leadership experience preferred 7. Past Nursing Administration/supervision experience preferred WORKING CONDITIONS: 1. The environment may be stressful and constantly changing. 2. May be exposed to infectious diseases, sealed radiation and variances in temperature control and ventilation. Additional Job Details (if applicable) Additional_Job_Description Remote Type Onsite Work Location 75 Francis Street Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Rotating (United States of America) Pay Range $55.82 - $81.18/Hourly Grade 8 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.

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 inpatient acute hospital 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: 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.

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.