RN Case Manager
Partner's Healthcare

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.

Case manager for MGH's expanding cellular therapy program. Be part of a program offering the newest treatments for cancer patients and new indications in clinical trials for non-oncology diseases. Collaborate with nurse navigators, social workers, physicians and research nurses to support patients and their caregivers through a complex treatment journey.

Job Summary
Act as a patient advocate ensuring the cellular therapy patient receives the necessary assistance to be able to follow through with the personal treatment plan. Facilitates with the provider, patient and family to access the health care resources and health insurance. Makes contacts and referrals for social support, networks and VNAs.

Reviews patient's insurance and meets with patient/family to review for financial toxicity and options available to patient. Communicates with Patient Financial Services (PFS) to assist and support patient with insurance coverage. Navigation and application for any funding resources available to specific diagnosis

Must communicate effectively and works closely with interdisciplinary care teams including referral management teams and referrals for case management programs. In collaboration with the Interdisciplinary Team, monitors the patient's progress and plan of care with the aid of internal and external utilization and quality guidelines.

Identifies, documents, and reports issues and system barriers Develop a cohesive and strong team-oriented relationship with oncologists, nurses and other health care professionals. Work in partnership with interdisciplinary healthcare team members to facilitate the best in patient care.

Work with social work, manufacturers and clinical trial support programs and local resources to facilitate nearby lodging, transportation and food assistance when patient needs to stay in close proximity to hospital for treatment and follow-up. Monitors the patient's progress, intervening as necessary and when appropriate to ensure that the plan of care and services provided are patient focused and friendly, high quality, efficient, and cost effective.

Utilizes a translator when appropriate and incorporates awareness of the patient's cultural needs that may impact the plan of care Collaborates with Utilization Management Department to determine Level of Care (LOC) When patient may require rehabilitation services during treatment phase, case manager will assist with review of options and facilitate as part of the care team.

Assists with transportation issues (PT1 through Mass Health, the Ride, parking at MGH, the shuttle to and from OCB, etc.) Responsible when asked by oncology providers to coordinate, setup and follow health care services needed in the home.

Perform prior authorizations and retrospective reviews on any medications that have been labeled as needing a PA. Refer PA's back to the oncologist when the request does not meet the medical necessity guidelines or a peer to peer review is necessary. Training and sharing information with existing Cancer Center Case Managers and Social Services Department

We offer an outstanding benefits packages to eligible employees including... - Medical, Dental and Vision insurance - Tuition Reimbursement - Generous paid time off - Subsidized MBTA pass (50% discount) - Resources for childcare and emergency backup care - Hospital paid retirement plan and tax-sheltered annuity plan - Employee "Perks" - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events. You contribute to our success! Every role has an impact on our patients' lives, and you can make a difference. We are looking for someone as dedicated as you to be a part of our team!

Qualifications

Registered Nurse (RN) license in Massachusetts Bachelor of Science in Nursing (BSN) Experience in case management Strong clinical knowledge and experience in the oncology setting preferred Excellent communication and interpersonal skills Ability to work independently and as part of a team Strong organizational and time management skills

Additional Job Details (if applicable)

Additional Job Description

Remote Type

Onsite

Work Location

2014 Washington Street

Scheduled Weekly Hours

40

Employee Type

Regular

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.