Jobs · Healthcare · Massachusetts

Asthma Nurse Case Manager

Mass General Brigham Health Plan · Somerville, MA · 1 mo ago
Healthcare$90k–$110k/yrFull-time
We need to output HTML fragment with sections: h3 headings for sections present: About the role? The posting includes a job summary, responsibilities (Essential Functions), Qualifications (Education, Licenses, Experience, Knowledge, Skills, Abilities), Benefits? It mentions competitive salaries and benefits package, flexible work options, career growth opportunities, etc. Also Pay: they gave range $90,000 to $110,000 annually (also later a different range $58,656 - $142,448.80 but that seems generic grade). We should include Pay section only if posting actually states them. It does: "Given equity, this position will pay somewhere between $90,000 to $110,000 annually." Also later "Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP". That seems generic but still a pay range. We should include Pay section with the specific range mentioned. Probably include both? But we should not duplicate. We'll include Pay with the $90k-$110k range (the specific). Also Schedule: they mention full-time Monday-Friday 8:30-5:00 PM Eastern Time, hybrid, on-site once per quarter. So we can include Schedule section. Benefits: they mention competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. Also later: "In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs". So we can include Benefits section summarizing that. We need to remove boilerplate: EEO, legal, etc. Also remove duplicated lines like "Given equity, this position will pay somewhere between $90,000 to $110,000 annually." appears twice; we keep once. We need to use

for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide which sections to include based on content. We have: - About the role: could be the job summary paragraph describing mission, etc. We'll put that under About the role. - Responsibilities: Essential Functions list. - Qualifications: Education, Licenses and Credentials, Experience. - Skills: Knowledge, Skills, And Abilities. - Benefits: description of benefits package. - Pay: salary range. - Schedule: work schedule details (hybrid, Monday-Friday, etc.) We should not repeat job title as heading. We need to use
  • for any list of duties/requirements/benefits. For prose use

    . We must preserve all substantive information; do not invent or summarize away detail. Let's extract details. From posting: Job Summary paragraph: "Mass General Brigham relies on a wide range of professionals... 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." Then "Job Summary Given equity, this position will pay somewhere between $90,000 to $110,000 annually." Actually that sentence includes pay; we will separate pay later. Then: "Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more." Then: "Serves as a member of the Coordinated Whole Health Care team at Mass General Brigham Health Plan, the Nurse Care Manager conducts telephonic care disease management for members with respiratory (i.e. asthma, COPD, etc.) conditions. The Nurse Care Manager outreaches and works with members identified as higher risk. This includes partnering with members, providers, and families to create care plans that provide strategies to improve member health outcomes and help members meet self-identified health management goals." Then Essential Functions list: - Client Assessments and Planning - Documents in accordance with NCQA requirements in member EMR - Modify member treatment plans - Defines care goals of cardiac patients by providing education, information, and direction to each individual and family - Coordinates member care with other members of the Coordinated Whole Health Care team when appropriate - Review cases with medical directors on challenging cases as needed - Maintain accurate, detailed reports and records. Note: Some items seem mis-typed (cardiac patients but role is respiratory; but we keep as is). Qualifications: Education: Associate's Degree Nursing required; Bachelor's Degree Nursing preferred. Licenses and Credentials: Massachusetts Registered Nurse (RN) license required; Basic Life Support (BLS) certification required; Respiratory experience highly preferred; Previous teleophonic case management or home care experience highly preferred. Experience: At least 2-3 years of case management, utilization review, or discharge planning experience preferred. Knowledge, Skills, And Abilities: list: - 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) Working Conditions: - This is a hybrid role that requires an on-site presence at the office in Assembly Row, Somerville roughly once per quarter - This is a full-time role with a Monday through Friday schedule, generally 8:30-5:00 PM Eastern Time - Remote workspace requirements, including privacy and security standards, may be verified in accordance with organizational policy Then repeated pay line. Then Remote Type Hybrid Work Location 399 Revolution Drive 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 Then benefits description: "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 should include Benefits section summarizing that. We need to avoid duplication: we already mentioned benefits earlier; we can combine. We need to output only HTML fragment. Let's craft:

    About the role

    Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

    Responsibilities

    Serves as a member of the Coordinated Whole Health Care team at Mass General Brigham Health Plan, the Nurse Care Manager conducts telephonic care disease management for members with respiratory (i.e. asthma, COPD, etc.) conditions. The Nurse Care Manager outreaches and works with members identified as higher risk. This includes partnering with members, providers, and families to create care plans that provide strategies to improve member health outcomes and help members meet self-identified health management goals.

    • Client Assessments and Planning
    • Documents in accordance with NCQA requirements in member EMR
    • Modify member treatment plans
    • Defines care goals of cardiac patients by providing education, information, and direction to each individual and family
    • Coordinates member care with other members of the Coordinated Whole Health Care team when appropriate
    • Review cases with medical directors on challenging cases as needed
    • Maintain accurate, detailed reports and records

    Qualifications

    • Education: Associate's Degree Nursing required; Bachelor's Degree Nursing preferred
    • Licenses and Credentials: Massachusetts Registered Nurse (RN) license required; Basic Life Support (BLS) certification required; Respiratory experience highly preferred; Previous telephonic case management or home care experience highly preferred
    • Experience: At least 2-3 years of case management, utilization review, or discharge planning experience preferred

    Skills

    • 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.

    Benefits

    We offer competitive salaries and a benefits package that includes flexible work options, career growth opportunities, comprehensive benefits, career advancement opportunities, differentials, premiums, bonuses as applicable, and recognition programs designed to celebrate contributions and support professional growth.

    Pay

    Given equity, this position will pay somewhere between $90,000 to $110,000 annually.

    Schedule

    This is a full-time hybrid role with an on‑site presence required at the office in Assembly Row, Somerville roughly once per quarter. The standard schedule is Monday through

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