Case Manager, RN

Massachusetts General Hospital
United States, Massachusetts, Boston
32 Fruit Street (Show on map)
May 02, 2025
Patients treated in the Termeer Center are often on a Phase 1 clinical trial which presents many challenges for the average patient. Phase 1 trials require frequent appointments, sometimes multiple times a week and for long hours at a time, including biopsies and scans, rigid treatment schedules and auxiliary appointments dictated by the protocol. Patients often present with complicated social needs such as transportation, VNA needs, FMLA or disability paperwork requirements, and language and/or health literacy barriers. The Case Manager for the Termeer Center will work with the existing team members in Termeer (Physicians, Clinical Research Coordinators, Research Nurses, Infusion nurses and PCAs) to do a thorough needs assessment of each new Phase 1 patient and then oversee the various resource and interdisciplinary referrals, follow-up on SW, Palliative Care and supportive care referrals, facilitate prior authorizations, protocol reimbursements, challenging insurance co-pays, complicated billing issues and overall support Termeer patients on clinical trials. A dedicated Case Manager to the Termeer Center would be expertly equipped to help the patients who go on a Phase 1 trial to face the unique challenges of these trials. Case management responsibilities include but are not limited to: Needs assessment on intake of new patients in screening or on C1D1 communication with the interdisciplinary team for patients and their caregivers Coordination with referring oncologist at MGH or outside crisis intervention and care coordination, information and safety planning referral to complementary therapies with SW, integrative therapies, Palliative Care, PT and OT, support resource referral and obtaining unique resources for patients in need, navigation and application for any funding resources available to specific cancer diagnosis Assist with transportation issues (PT1 through Mass Health, the Ride, parking at MGH, the shuttle to and from OCB, etc.) Setting up rides for patients using Uber Health processing of Prior Authorizations oversee reimbursements offered by protocols FMLA and disability paperwork processing Communication with Patient Financial Services for patients who have difficulty with insurance co-pays or if a pt has no insurance to cover some costs Coordinating with Lay Navigators or Nurse Navigators when one is available assisting with obtaining growth factor stimulants (ie: Granix) tracking down prescriptions or medications that should have been delivered Setting patients up for home oxygen or home infusion and other home care services Training and sharing information with existing Cancer Center Case Managers *Help patients transition to hospice obtain home services Additionally, this individual will attend team meetings, develop educational curricula for the Research team and interface with Phase 1 physicians, APPs, Research nurses and infusion nurses, CRCs, CCPO Finance team members and other members of the Research Team. This position will also be responsible for tracking the number and source of referrals and, in collaboration with the director, for evaluating the success of the supporting Phase 1 patients. Provide case management for patients on a Phase 1 trial who are referred to the program, including resource referral, bridging oncology team to Phase 1 team, assessment of patient and caregiver for all psychosocial needs and engagement and support of patients and their caregivers. This also includes the ability to team with the interdisciplinary oncology and Research teams to offer them the best support with this population and create care plans for patients, taking into account the restraints of the Phase 1 trial and the patient's disease burden. In the case manager role, this position provides support to the patient across care settings to promote continuity. Ensure timely implementation of the care plan and works along with the Phase 1 team and Termeer nurses to ensure the success of the plan. Provide program management, including tracking of referrals in evaluating the effectiveness of support structures for Phase 1 patients. Provide education to Phase 1 Team and Termeer nurses on ways in which they can support patients on clinical trials. Provide support to patient-identified caregivers, including but not limited to: spouses, adult children, siblings, other family members Strong clinical assessment and problem-solving skills Case management skills related to working with cancer patients and patients from underserved populations Excellent interpersonal skills, ability to work in teams across disciplines Ability to review electronic medical records and record data into the electronic medical record Ability to be proactive, autonomous, creative and assertive to best advocate for patients and their caregivers Demonstrated ability to work in a complex medical setting; acute medical setting experience preferred Excellent oral and written communication skills Proficient in Microsoft Word and Excel Required: RN license and experience Preferred: Case Management license Role Perks: Monday - Friday; 8-hour shifts No Weekends After a successful 90-day probationary period, opportunity for one day remote The General Hospital Corporation 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.