Utilization Review RN

Site: The General Hospital Corporation
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.
Utilization Review Acute Hospital Experience
Job Summary
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
Qualifications
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
MA Registered Nurse 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.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
265 Charles Street
Scheduled Weekly Hours
0
Employee Type
Per Diem
Work Shift
Day (United States of America)
Pay Range
$41.72 - $105.65/Hourly
Grade
GHCARN055
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
The General Hospital Corporation 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 .
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