Nurse Case Manager-Martha's Vineyard Hospital

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.

This is a remote position. The ideal candidate would be willing to work every weekend and holiday however we are willing to entertain other options. Job Summary: 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.

Essential Functions-Client Assessments and Planning: Modify patient treatment plans as indicated by patients' responses and conditions. Prepare patient/family for discharge Communicates with third party payers to obtain necessary authorization for reimbursement of services. Review 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. Maintain accurate, detailed reports and records. Communicates with third party payers to obtain necessary authorization for reimbursement of services.