Boston, MA, USA
7 days ago
Utilization Management Case Manager - Per Diem
Site: The General Hospital Corporation


 

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.


 


 

Job Summary

Summary
Responsible for coordinating the complex care needs of patients and is the primary patient contact for service access, diagnostics, treatment activities, schedules, patient and family education, and multidisciplinary collaboration.


Essential Functions
In collaboration with the interdisciplinary team, help create a tailored health care plan for assigned patients.

Develop an individualized plan with the MD for appropriate services for the patient.

Reports pertinent observations and reactions regarding clients to the appropriate person (i.e., primary care provider, social worker, or Director).

Assesses and coordinates patient's discharge planning needs with members of the healthcare team.

Resolves patient problems and needs by utilizing multidisciplinary team strategies.

Educates patients regarding how to navigate throughout the health system.


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

Experience

Experience in an acute care setting and/or provider practice and/or experience in a community-based role or with discharge/transitional planning background 2-3 years preferred

Knowledge, Skills & Abilities

Strong attention to detail and organization.

Strong cultural awareness competencies.

Proficiency in Microsoft Office.

Maintains good communication skills.

Readily adapts to change and welcomes new approaches when circumstances demand it.


 

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

Hybrid


 

Work Location

265 Charles Street


 

Scheduled Weekly Hours

0


 

Employee Type

Per Diem


 

Work Shift

Day (United States of America)


 

EEO Statement:

The General Hospital Corporation is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.


 

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.

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