Utilization Management Case Manager - Per Diem

Massachusetts General Hospital
United States, Massachusetts, Boston
265 Charles Street (Show on map)
Feb 21, 2025
Summary Responsible for coordinating the complex care needs of patients and is the primary patient contact for service access, diagnostics, treatment activities, schedules, patient and family education, and multidisciplinary collaboration. Essential Functions In collaboration with the interdisciplinary team, help create a tailored health care plan for assigned patients. Develop an individualized plan with the MD for appropriate services for the patient. Reports pertinent observations and reactions regarding clients to the appropriate person (i.e., primary care provider, social worker, or Director). Assesses and coordinates patient's discharge planning needs with members of the healthcare team. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Educates patients regarding how to navigate throughout the health system. Required for All Jobs Performs other duties as assigned Complies with all policies and standards Does this position require Patient Care (indirect/direct)? Yes Education Bachelor's Degree Nursing required or Master's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - MA License] required Experience Experience in an acute care setting and/or provider practice and/or experience in a community-based role or with discharge/transitional planning background 2-3 years preferred Knowledge, Skills & Abilities Strong attention to detail and organization. Strong cultural awareness competencies. Proficiency in Microsoft Office. Maintains good communication skills. Readily adapts to change and welcomes new approaches when circumstances demand it. Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) The General Hospital Corporation 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.