Complex Care Manager, RN

Site

Mass General Brigham Community Physicians, Inc.

Serves as a core member of the care team, coordinating and supporting healthcare within the facility and arranging 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, and focuses on the development and coordination of community service plans.

• Client assessments and planning.
• Modify patient treatment plans as indicated by patients’ responses and conditions.
• Prepare patient/family for discharge.
• Communicate with third‑party payers to obtain necessary authorization for reimbursement of services.
• Review cases with medical directors on challenging cases as needed.
• Define care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.

• Associate’s Degree in Nursing or Bachelor’s Degree in Nursing required.
• Massachusetts Registered Nurse (RN) license.
• 2+ years of case management, utilization review, discharge planning, or home‑care experience (strongly preferred).

• Active listening and effective communication skills.
• Logical and reasoning ability to evaluate alternative solutions.
• Strong rapport and relationship‑building with patients and staff.
• Proficiency in Microsoft Office and industry‑related software programs.
• Complex problem identification, information review, option evaluation, and implementation of solutions.
• Confidentiality of client and staff information.
• Understanding of diagnostic criteria for dual conditions and conceptualization of modalities and placement criteria within the continuum of care.
• Knowledge of healthcare and managed care (preferred).

Full‑time Monday through Friday, approximately 8:00am–4:30pm, with some flexibility. Primarily remote, with meetings at Assembly Row in Somerville, MA twice per month. Remote workdays require a stable, secure, and compliant workstation in a quiet environment and the use of MGB‑provided Teams video equipment.

$58,656.00 – $ per year (Grade 98

TEMP).

In addition to competitive base pay, a comprehensive benefits package, career advancement opportunities, differentials, premiums, bonuses, and recognition programs are offered to support professional growth.

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 provide reasonable accommodation to enable participation in the job application or interview process and to perform essential job functions.

Contact Human Resources at (857)‑282‑7642 for accommodation inquiries.