Utilization Review RN
Mass General Brigham
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.
Job Summary
SummaryResponsible 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
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$41.72 - $105.65/Hourly
Grade
GHCARN055
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.