Pediatric Care Management Intake Clinician - RN

Site: Mass General Brigham Community Physicians, Inc.

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.

The Pediatric Care Management Intake Clinician (RN) leads clinical intake for pediatric patients referred to complex care or care management services. This role triages referrals, verifies eligibility, performs nurse-led intake assessments, risk stratifies medically and socially complex children, initiates family-centered care plans, and coordinates timely handoffs to assigned Pedi iCMP Care Manager. The RN partners closely with social work, pharmacy, CHWs, and CRS to reduce avoidable utilization and improve outcomes, experience, and equity.

Job Summary

Primary Responsibilities:

• Prepare patient/family for enrollment in program.
• Communicates with third party payers to obtain necessary authorization for reimbursement of services.
• Review cases with medical directors on challenging cases as needed.
• Defines care goals of patients by providing education, information, and direction to each individual and family.
• Maintain accurate, detailed reports and records.

Qualifications

Qualifications:

• Associate's Degree Nursing required; Bachelor's Degree Nursing preferred.

• Active Massachusetts RN licensure required.

• 2+ years of Pediatrics experience required.

• Care / case management experience preferred.

• Certification in Case Management (CCM/ACM) or Pediatric Nursing (CPN) preferred.

• Experience with technology-dependent children, rare diseases, and medical home models preferred.

• Bilingual ability and/or experience with interpreter services preferred.

Additional Knowledge, Skills and Abilities:

• Strong clinical triage, assessment, and care planning skills (ie SMART GOALS)

• Expertise working collaboratively with non-clinical roles (ex. Community Health Workers)

• Familiarity with SDOH screening, community resources, and payer processes.

• Excellent communication with families and interdisciplinary teams.

• EMR proficiency; comfort with reports and registries.

Additional Job Details (if applicable)

Schedule and Working Model

• Full-time Monday through Friday, standard business hours.

• Work from home with the ability to attend in-person team meetings twice per month.

• On remote workdays, employees must use a stable, secure, and compliant workstation in a quiet environment. Teams video is required and must be accessed using MGB-provided equipment.

Remote Type

Hybrid

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$58,656.00 - $142,448.80/Annual

Grade

98TEMP

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:

6010 Mass General Brigham Community Physicians, 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/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 (857)-282-7642.

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.