Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
The Integrated Care Management Program (iCMP) began in 2006 to support our primary care patients with complex health issues and is one of many programs available through our primary care practices. The program now provides care coordination services to more than 4,000 patients annually.
The Integrated Care Management Program (iCMP) is designed to reduce complication by supporting patients on their health care journey. Our iCMP nurses, social workers, and community health workers meet with patients and assess their health and social needs. Together, they identify barriers to good health and create a plan to address them. The team works with our patients and their providers to create a personal care plan to support the patient in achieving optimal health and well-being.
Job Summary
The Opportunity• Serves as a core member of the care team coordinates and supports healthcare within the facility, and coordinates 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.
• Focuses on the development and coordination of community service plans.
• Partners with service providers, families, and patients to create a plan of healthcare and identify additional service providers.
• Conducts client assessments and planning.
• Modifies patient treatment plans as indicated by patients' responses and conditions.
• Prepares patient/family for discharge.
• Communicates with third party payers to obtain necessary authorization for reimbursement of services.
• Reviews cases with medical directors on challenging cases as needed.
• Defines care goals of patients by providing education, information, and direction to each individual and family.
• Maintains accurate, detailed reports and records.
Qualifications
What You'll Bring
Education
Associate's Degree Nursing requiredBachelor's Degree Nursing preferredLicensure
Current active Registered Nurse (RN) LicensureExperience
2+ years of Case management, utilization review, and/or discharge planning experience requiredProficiency in Microsoft Office and industry related software programs requiredKnowledge of Managed Care preferredSkills and Knowledge
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.Ability to establish strong rapport and relationships with patients and staff.Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.Ability to maintain client and staff confidentiality.Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care.
Additional Job Details (if applicable)
Onsite / Flexible Working Model
M-F Eastern Business HoursOnsite at community practices in Chelsea/ LynnTraining and Home Base Somerville, Assembly Row siteIncludes patient in-home or physician visitsMust be flexible for patient needs and team meetings M-F for onsite as needed
Remote Type
Hybrid
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$58,656.00 - $142,448.80/Annual
Grade
98TEMP
EEO Statement:
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 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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.