RN Care Manager (Healthcare)

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Time Type:

Full time

Department:

Pediatrics

All Locations:

10 Gove Street – Taylor Building

Position Summary:

NeighborHealth is a member of Well Sense, a 501(c)(3) not-for-profit, Accountable Care Organization (ACO) governed by FQHCs. Our mission is to leverage the collective strengths of Federally Qualified Health Centers (FQHC) to improve the health and wellness of the people we serve.

As an integral member of the care management team the Registered Nurse (RN) Care Manager (CM) will have the opportunity to make a profound impact on the lives of people living with complex and/ or chronic conditions, many of whom also face multiple barriers in their lives which makes it difficult for them to achieve the self-care required to improve their health and well-being. This position requires flexibility and may vary from day-to-day to meet members where they are. Outreach methods may vary based on the needs of the organization and may include telephonic or in person in a variety of potential settings such as but not limited to, the health center, community, home or an inpatient facility.

Essential Duties & Responsibilities                    

• Conducts Comprehensive Assessments
• Assures that medication reconciliation is complete.
• Engages members and care givers in active care planning with focus on medical, behavioral, social, member-centered care needs.  Coaches and guides member/representative to meet bio/psycho/social goals.
• Provide care coordination, which may include but not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up
• Assesses the member's knowledge of their medical, behavioral health and/or social conditions and provides education and self-management support including symptom response plans based on the member's needs and preferences.
• Connects members with primary care, behavioral health, flexible services, Community Partner, respite, and other community based social services as indicated and appropriate
• In collaboration with Community Health Workers, creates and maintains a comprehensive inventory of local community resources through a web-based application, improving accessibility for members and providers, and linking members with the appropriate support services.
• Participates in the integrated care team meetings and rounds as required
• Maintain accurate, timely documentation in electronic systems including health center EHRs. 
• Provides coverage for team members who are out of office
• Measure, improve and maintain quality outcomes (clinical, financial, and functional) for individual enrollees and the population served.
• Be fully accountable for the completion of work within established timeframes and for achieving the goals established for the enrollee/family.
• Ensure that all care management is offered in a culturally and linguistically appropriate manner and with disability competence.
• Ensure that all needed accommodations are consistently made for members with disabilities.
• Maximize the use of ACO care management tools and technology to ensure that work is comprehensive, detailed, automated and streamlined to the extent possible.  Make recommendations to change workflows to enhance the ease of use, practicality and effectiveness of the ACO tools and processes.
• Use information about data trends for self-directed learning and performance improvement.
• Maintain excellent punctuality and attendance.
• Promote a sense of “team work” through demonstration of self-direction and self-motivation.  Solve problems independently or knows when to seek consultation.
• Adheres to all NeighborHealth and departmental polices and procedures.
• Participate in required departmental activities and meetings.
• Perform other related duties.

EDUCATION:

• Bachelor's Degree in Nursing required.
• Valid MA RN license required.

EXPERIENCE:

• 2-10 years of nursing experience, preferably with some combination of home health, ambulatory care, community public health and case management work experience.  Including, the , coordination of enrollee care across multiple settings and with multiple providers.
• Experience working with a Medicaid population is strongly preferred.
• Experience working with Federally Qualified Health Centers is strongly preferred.
• Case Management Certification (CCM, ANCC RN-BC) preferred.

SKILLS/ABILITIES:

• Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion.
• Reliable transportation with ability to travel offsite.
• Fluency in a non-English language preferred.
• Strong work ethic built on a foundation of proactivity and teamwork.
• Ability to navigate ambiguity with the aid of structured problem-solving techniques.
• Committed to the practice of inquiry and listening.
• Experience working with patients with chronic and behavioral health needs.
• Must be flexible and adaptable to change.
• Demonstrate the ability to work independently. 
• Additional qualities that would be a good fit for our team include:
  • Enthusiasm and passion for helping patients, genuine spirit, kind, and empathetic nature, and one who embraces a ‘go with the flow' mentality.  
  • May need to work evenings/ occasional weekends to provide enrollee access and/ or follow up.
  • Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Providers, Social Workers, Community Health Workers and other health care teams.
  • Experience using appropriate technology, such as computers, for work-based communication. 
  • Experience and proficiency with Microsoft Office and online record keeping.

PAY RANGE:

Starts at $44/hr up to $64 based on experience

Includes $10,000 sign on bonus!

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request

Federal Trade Commission Statement:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.