New

Registered Nurse Case Manager RN

Mass General Brigham (Enterprise Services)
remote work
United States, Massachusetts, Needham
1450 Highland Avenue (Show on map)
Feb 12, 2026
Primary Responsibilities -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. What You'll Bring Qualifications: Associate's Degree in Nursing (ASN) required. Bachelor's Degree in Nursing (BSN) preferred. RN Licensure required. 2+ years experience required. Case management, utilization review and/or discharge planning experience strongly preferred. Additional Knowledge, Skills and Abilities: - 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. - Proficient in Microsoft Office and industry related software programs. - 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. - Knowledge of Healthcare and Managed Care preferred. Schedule and Working Model Full-time (40 hours) Monday through Friday, standard business hours. Location: Newton/Wellesley/Needham Hybrid work model. Approximately 2-3 days in the practice and field, approximately 2-3 days at home. Remote work days require stable, secure, quiet, compliant work station. Mass General Brigham Incorporated is an Equal Opportunity 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.