RN Care Coordinator; Case Manager BWH

Mass General Brigham is a not‑for‑profit organization dedicated to patient care, research, teaching, and community service. We are seeking an RN Care Coordinator (RNCC) to manage a caseload of patients, ensuring care aligns with clinical and financial outcomes.

Role: RN Care Coordinator (Case Manager)
Site:
The Brigham and Women’s Hospital, Inc. (45 Francis Street, Boston, MA)

Shift: 40 hrs variable rotating

Employment type:

Regular full‑time
Pay range: $41.71–$105.65 per hour

• Coordinate and insure implementation of the plan of care using case‑management principles.
• Within 24‑48 hours of admission interview patients/families, consult physician team to develop provisional treatment program and tentative discharge date.
• Review daily treatment plan with physicians, nurses, and families to ensure interdisciplinary communication.
• Participate in patient care rounds to contribute to plan of care and monitor progress.
• Collaborate with other departments to expedite sequencing and scheduling of interventions, consults, treatments, and ancillary services.
• Ensure daily continuity with patients, addressing discharge‑related needs.
• Incorporate utilization‑management principles and payer contracts into patient plans.
• Present alternatives to inpatient stay to attending MD, team, and patient/family based on assessed level of care and insurance benefits.
• Seek assistance from Care Coordination leadership for outlier or resource‑intensive patients.
• Interact with internal and external providers for post‑discharge services.
• Contribute to development, implementation, and monitoring of practice guidelines.
• Identify learning needs related to case management and develop education plans.
• Execute discharge planning: assess continuing care needs, coordinate family meetings, ensure patient education, identify service options, promote interdisciplinary communication, perform follow‑up, and initiate contact with home health agencies.
• Collaborate with payers to ensure admission appropriateness, discharges, and reimbursement; conduct utilization reviews; identify and address payer concerns; provide reports on utilization trends.

• Graduate of an approved school of nursing with current Massachusetts registration;
  Bachelor of Science in Nursing required for newly licensed nurses and external candidates.
• Minimum 1 year acute‑care experience; 1 year inpatient case‑management experience required.
• Strong clinical assessment, interpersonal, and organizational skills; ability to work collaboratively with diverse teams.
• Bilingual (English/Spanish) preferred.
• Excellent written and verbal communication; data compilation from medical records; negotiation of care coordination aspects.
• Ability to work independently in a busy, sometimes stressful hospital environment.

Busy, sometimes stressful hospital and office environment; flexible and independent work required.

Location:

45 Francis Street, Boston, MA

Schedule:

40 hrs per week; rotating shift
Remote type:
Onsite

2200 The Brigham and Women’s Hospital, Inc. 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 other protected statuses. Reasonable accommodations will be provided for applicants with disabilities.