RN Care Manager coordinating care for Mass General Brigham’s high risk primary care patients in a hybrid work model. Managing healthcare coordination and community service development for patient care.
About the role
- LTSS Service Coordinator managing service coordination functions for individuals in specialized programs. Conducting assessments and facilitating care planning as part of a healthcare team.
Responsibilities
- Responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs
- Facilitate the Person Centered Planning process
- Conduct assessments and develop comprehensive Person Centered Support Plan (PCSP)
- Interface with Medical Directors and participate in interdisciplinary care rounds
- Engage the member’s circle of support and manage physical health/behavioral health/LTSS needs
- Perform face to face program assessments
- Identify members with potential clinical health care needs and coordinate their cases
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities
- Document short and long-term service and support goals in collaboration with care team
- Identify members that would benefit from an alternative level of service or other waiver programs
- Mentor, assist in training new staff, and involve in process improvement initiatives
- Submit utilization/authorization requests to utilization management
Requirements
- Requires BA/BS degree
- Minimum of 2 years of experience working with a social work agency
- Bilingual in English/Spanish strongly preferred
- LTSS, case management, social work or hospital discharge planning experience preferred
Benefits
- Sign on Bonus: $1500.00
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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