Registered Nurse (RN) - Case Management
Brigham and Women's Hospital
Boston, MA
3x8 hrs, Days

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. When determining base pay, we take a comprehensive approach that considers your skills, relevant experience, education, certifications, and other critical factors. The pay information provided offers an estimate based on the minimum job qualifications, but it does not encompass all the elements that contribute to your total compensation package.

QUALIFICATIONS: Education: - Graduate of an approved school of nursing with current registration in Massachusetts. BSN preferred. Master's Degree preferred. For newly licensed nurses a Bachelor of Science Degree in Nursing is required. - Certification in Case Management preferred. Experience: - Three to five years of acute care experience in a hospital setting preferred. - Three to five years of case management experience preferred. - Experience working in a post acute setting such as L-TAC, rehab, skilled nursing facility, or homecare preferred. - Ambulatory experience working in a health center or physician’s office preferred. - Working knowledge of Epic Complex Care Manager application and BWH integrated Care Management Program (iCMP) preferred. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: 1. E xcellent organizational and communication skills. 2. E xcellent oral, written, and telephonic skills and abilities. 3. S uperior inter-personal skills. 4. S trong competency working with hospital computer systems and case management systems. 5. C ompetent using Microsoft word, powerpoint, and excel. 6. A bility to work well with physicians and ambulatory staff in a practice or health center setting. 7. D emonstrated ability to present and speak in front of groups. 8. K nowledge and skills to differentiate levels of care. 9. A bility to handle routine work, unexpected priorities, and multi-task. 10. F lexible about changing practice sites as patient needs indicate, helping colleagues at other practices and covering during vacations/unexpected illness/holiday time. WORKING CONDITIONS: Works in a busy and, at times, stressful office or health center environment. Must be autonomous, industrious, and work well in a multi-disciplinary group. Flexibility is required. Must be a team player, prepared to cover for colleagues as needed. Some travel to hospital, post acute settings, other offices, and patient homes (infrequently). GENERAL SUMMARY/ OVERVIEW STATEMENT: BWH & BWFH Primary Care Practices Shift: 20hr variable day shift Brigham and Women’s Hospital, an affiliate of 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 in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Position Summary Working closely with high risk patients, the Ambulatory RN Care Coordinator is responsible for establishing, implementing, monitoring, and evaluating high quality cost effective care plans. The Ambulatory RNCC collaborates with practice Physicians and Program leadership, strategizing about optimal and efficient patient care plans and approaches. The Ambulatory RNCC remains knowledgeable about performance targets established via the Program Leadership Team and strives to achieve these goals. This position requires a broad knowledge of clinical care and systems’ management, case management expertise, prudent nursing judgment, health care re-imbursement, sound problem solving skills, independent thinking, excellent organizational and interpersonal skills, creativity, flexibility, and the ability to multi-task. This position is located at the BWH and Faulkner Primary Care Practices. Candidate will be part of a high functioning ambulatory care management team. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. P erforms program specific patient outreach, education, and recruitment. 2. C onsults with patients’ physicians and / or Medical Directors about high priority patients and potential care management plans. 3. I nitiates telephone or in person contact with eligible patients to perform initial assessment, healthcare education, and develop a realistic care management plan. 4. I ncorporates knowledge of case management, levels of care, and utilization management principles to implement high quality cost effective care plans. 5. U tilizes excellent interpersonal skills when communicating with patients, families, and physicians in order to develop rapport, build trust, and engage patients in health promotion activities. 6. I nfluences utilization of health care resources by providing direct care coordination to patients, encouraging enrollment in disease and case management programs, providing care coordination intervention and follow-up prior to and after interaction with health care system, e.g., inpatient, ED visit, outpatient services, etc… 7. U sing medical management criteria or other diagnostic screening criteria, determines appropriateness of hospital admissions and disease management programs. As indicated, provides direct and ongoing care management to select patients and / or refers to existing care management programs: insurance-based specialty case management programs, BWPO Disease Management programs, Partners HealthCare Disease Management programs, etc… 8. C ommunicates with other health care clinicians throughout the continuum about patient’s care, utilization, and follow up plans, e.g., ED Care Facilitators, inpatient Care Coordinators, post acute case managers, social workers, pharmacists, etc… 9. E stablishes a consistent communication and reporting schedule for periodic contact with providers and patients to review patient status and progress toward goals. 10. N otifies Nursing Director, PCP, and/or Medical Director about (over/under) utilization of services and patient’s compliance with program. 11. C ollaborates with PCP, and/or Medical Director, re., challenging patient situations. 12. A cts as clinical resource person for program’s quality efforts. 13. A ttends and presents case reviews at practice meetings, program meetings, and care coordination meetings. 14. U tilizes care management systems to document, monitor, and evaluate patient interventions and care plans. 15. K eeps current with related trends in care management, including health education and coaching. 16. P articipates in regular meetings with the Nursing Director and Medical Director to review performance, patient volume, projects, outside professional activities, and upcoming goals to achieve. ORGANIZATIONAL RESPONSIBILITIES: 0. D emonstrates a positive attitude in dealing with problems or crisis situations. 1. I s aware of and follows BWH policies and procedures for general safety, fire safety, parking, proper body mechanics, infection control, attendance, punctuality, and appearance. 2. W orks effectively with team members. 3. D emonstrates initiative and creativity to continuously improve services, processes, and other activities that affect quality and utilization. 4. P erforms all duties in an independent, professional manner and requests assistance when necessary. 5. W ork reflects excellent organizational skills. 6. W illingness to be flexible in situations. Performs duties of lesser, equal, or greater responsibility as requested. OTHER DUTIES AND RESPONSIBILITIES: 0. A ssumes accountability for professional growth and development. 1. E xemplifies program teachings and acts as a role model for patients by practicing behaviors consistent with goals of the program. 2. A ssists in preparation for Joint Commission, CMS, and other surveys as applicable to role 3. W orks within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/MG B. 4. F ollows safe practices required for the position. 5. C omplies with appropriate BWH and MGB policies and procedures. 6. F ulfills any training required by BWH and/or MGB, as appropriate. 7. B rings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.

Recruiter: Morgan, Mary Margaret