Complex Care Manager, RN

About This Role

The Complex Care Manager, RN serves as a core member of the care team, coordinating and supporting healthcare within the facility and managing referrals for services outside the clinic. This role is ideal for a nurse with strong case management skills and a passion for community service.

• Pay: $58,656.00 - $/Annual
• Location:
  
  Somerville, MA
• Facility:
  Mass General Brigham Community Physicians, Inc.
• Schedule:
  
  Full-time, Monday through Friday, approximately 8am-4:30pm; some flexibility with hours
• Department/Unit:
  Mass General Brigham Community Physicians, Inc.

• Coordinate and support healthcare within the facility.
• Provide outreach and enrollment services to meet eligibility requirements.
• Ensure coordination and planning, including community and family support.
• 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.

Education: Associate's Degree Nursing or Bachelor's Degree Nursing required.

Experience: 2+ years case management, utilization review, discharge planning or home care experience strongly preferred.

Licenses &

Certifications:

Massachusetts Registered Nurse (RN) License.

Mass General Brigham is a leading healthcare provider committed to delivering exceptional patient care. The organization relies on a wide range of professionals to advance its mission, supporting patient care, research, teaching, and community service.