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RN Case Manager – Dual Eligible Special Needs Plan (D-SNP)
Mass General Brigham. Coordinate and support healthcare within the facility .
Posted 9/24/2026full-timeSomerville • Massachusetts • United StatesJuniorMid-Level💰 $58,656 - $142,449 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and discharge planning, with a strong focus on coordinating healthcare services and developing community service plans. Proficient in patient assessment, treatment planning, and maintaining compliance with healthcare regulations.
Highest-signal resume keywords
Registered Nurse (RN) LicensureCase Management ExperienceDischarge PlanningPatient AssessmentMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ManagementDischarge PlanningPatient AssessmentTreatment PlanningHealthcare CoordinationCommunity Service PlanningReferral CoordinationService Reimbursement AuthorizationDiagnostic Criteria UnderstandingProblem Solving
Soft Skills
Interpersonal SkillsCommunication SkillsConfidentiality MaintenanceRapport BuildingActive Listening
Tools & Technologies
Microsoft OfficeIndustry-Related Software
Certifications & Qualifications
Associate's Degree NursingRegistered Nurse (RN) Licensure
Industry Keywords
Healthcare CoordinationManaged CareDually Eligible PopulationsContinuum of CarePatient Care Goals
About the role
Key responsibilities & impact- Coordinate and support healthcare within the facility
- Coordinate referrals for services outside the clinic
- Provide outreach and enrollment services to meet program and county eligibility requirements
- Coordinate and plan community and family support
- Develop and coordinate community service plans
- Partner with service providers, families, and patients to create healthcare plans
- Conduct client assessments and planning
- Modify patient treatment plans based on patient responses and conditions
- Prepare patients and families for discharge
- Communicate with third-party payers to obtain service reimbursement authorization
- Define patient care goals through education, information, and direction
- Review challenging cases with medical directors as needed
- Maintain accurate, detailed reports and records
Requirements
What you’ll need- Associate's Degree Nursing required
- Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required
- 2+ years of case management and/or discharge planning required
- Experience working with complex dually eligible populations required
- Knowledge of Managed Care preferred
- Understanding of diagnostic criteria for dual conditions and ability to conceptualize modalities and placement criteria within the continuum of care preferred
- Ability to establish strong rapport and relationships with patients and staff
- Proficient in Microsoft Office and industry-related software programs
- Ability to maintain client and staff confidentiality
- Ability to identify complex problems, evaluate options, and implement solutions
- Ability to use logic and reasoning to assess alternative solutions
- Ability to listen attentively and ask appropriate questions
Benefits
Comp & perks- Comprehensive benefits
- Career advancement opportunities
- Differentials
- Premiums
- Bonuses as applicable
- Recognition programs
- Reasonable accommodation for qualified individuals with disabilities
- Hybrid work model: approximately 3 days per week at home
- MGB-provided equipment for remote workdays