New

Pediatric Care Management Intake Clinician - RN

Mass General Brigham Community Physicians
remote work
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Feb 26, 2026
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: 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. 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. Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.