Complex Care Manager (RN) Community Health Care

Join a diverse and passionate nursing team working to improve patient care and clinical outcomes.

Here is your chance to utilize your voice in patient and community advocacy within a collaborative primary care setting

This is a great opportunity to work with dedicated and multidisciplinary staff.

The Complex Care Manager Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing high-risk registry and reports generated by insurers

Formulates and implements a care management plan that addresses the patient's identified needs by assessing the patient/family needs, issues, resources, and care goals; determining the choices available to individual patients; and educating the patient/family on the choices available.

Establish a care management plan that is mutually agreed upon by the health care team and the patient/family. Evaluates the effectiveness of the plan in meeting established care goals; revises that plan as needed to reflect changing needs, issues, and goals.

Educates the patient/family, promotes self-management, and empowers patients/families to achieve maximum levels of wellness and independence through coaching techniques, like motivational interviewing, through telephone calls and in-office care management visits

Develops collaborative working relationships with insurance case managers and other key parties working with a particular patient/family case; negotiates on behalf of the patient with third parties for cost-effective, high quality services, and to maximize the efficient use of resources

Is primary contact with Beth Israel Deaconess Physician Organization to ensure timely case management of patients in accordance with risk-based contracts with payers. In conjunction with Medical Director, reviews related reports to improve performance on productivity, cost and quality measures.

Work two - three sessions per week as a Triage Nurse and the equivalent to two sessions per week seeing patients for face-to-face Care Management.

Monday – Friday Schedule - Excellent Compensation and benefits Package

Bachelor of nursing with at with at least three years of experience preferably in an ambulatory setting with Family Practice focus; Care Management experience preferred

Massachusetts Nursing license – RN, Experience with telephone assessment and crisis management; excellent communication and documentation skills

Contact Jerome at Olesky Associates for More Information

All your information will be kept confidential according to EEO guidelines.