Nurse Case Manager - Float

About the role

This full-time, M-F on the day shift position will be a float Case Manager covering our locations in Cambridge (LTAC) and Brighton (SNF).

Responsibilities

• Modify patient treatment plans as indicated by patients' responses and conditions.
• Prepare patient/family for discharge.
• Communicate with third party payers to obtain necessary authorization for reimbursement of services.
• Review cases with medical directors on challenging cases as needed.
• Define care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.
• Identify complex problems and review related information to develop and evaluate options and implement solutions.
• Establish strong rapport and relationships with patients and staff.
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Requirements

• Case management experience.
• Active RN license in MA required.
• LTAC/SNF experience.

Qualifications

• Associate's Degree Nursing required or Bachelor's Degree Nursing preferred.
• Experience in case management, utilization review, or discharge planning preferred (2-3 years).
• Knowledge of diagnostic criteria for dual conditions and ability to conceptualize modalities and placement criteria within the continuum of care.
• Basic Life Support [BLS Certification] preferred.
• Proficient in Microsoft Office and industry related software programs.
• Understanding of Healthcare and Managed Care preferred.

Skills

• Logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Ability to establish strong rapport and relationships with patients and staff.
• Ability to maintain client and staff confidentiality.

Benefits

At Mass General Brigham, 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.

Pay

$58,656.00 - $142,448.80/Annual

Schedule

Day (United States of America)