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The Integrated Care Management Program (iCMP) supports and coordinates health care for primary care patients with complex health issues.
Population Health Services Organization vision is to enable health care providers and patients in our Accountable Care Organization to achieve the best outcomes in the nation.
Multi Regional locations are hiring Care Coordinators to support regional community practices and patients. Weekly onsite travel to work onsite with patients and their care team, will include Somerville and Community Practices in assigned regions; Boston and surrounding, Metro Boston, Boston proper, North Shore, South Shore, Metro West and possible New Hampshire sites if assigned to North Shore, MA. MGB local sites and primary sites are a wonderful meeting place for patients and their Care Coordinator.
Job Summary
The OpportunityAs part of The Integrated Care Management Program (iCMP), You will support and coordinates health care for primary care patients with complex health issues.
Our team’s guiding principles are to:
• Keep patients healthy and at home as long as possible
• Better understand our patients’ health needs to guide timely and effective care
• Use performance and benchmark data to identify and act on opportunities for improvement
• Strengthen our performance in risk contracts so we can reinvest in our patients by partnering with providers across our hospitals and clinics to develop impactful interventions
The Complex Care Coordinator is vital to the multi-disciplinary team of clinicians serving MGB’s highest risk patients. The Complex Care Coordinator will coordinate all non-clinical patient needs, help with the connection to the primary care offices and support the patients to achieve their care goals by helping them connect to community resources and services, address social barriers and support patients through reminders and education reinforcement.
Responsible for working closely with patients, families, and healthcare providers to ensure a seamless and patient-centered care experience. Assist with navigating the complexities of the healthcare system, coordinating resources, and providing support to improve patient outcomes.
What You'll Do
• Advocate for patients and their families, ensuring their needs and preferences are considered in the care planning process.
• Serve as a liaison between patients, healthcare providers, and other relevant stakeholders.
• Collaborate with the interdisciplinary healthcare team to coordinate patient care services, appointments, and follow-up plans.
• Assist patients in understanding and adhering to their care plans.
• Identify and connect patients with appropriate healthcare and community resources, such as support groups, financial assistance programs, and transportation services.
• Educate patients and their families about their medical conditions, treatment options, and self-care strategies.
• Ensure that patients are informed and empowered to actively participate in their healthcare decisions.
• Maintain accurate and detailed documentation of patient interactions, care plans, and resource referrals
Qualifications
What You'll Bring
Bachelor's Degree in a health-related field, public health, or human services field required.Minimum one year experience in care coordination, population health, or a related healthcare role. Internship or other transferable experience will be accepted.Experience in navigating healthcare systems, patient advocacy, and understanding of medical/social services.Skills & Abilities for Success
Experience documenting in Electronic Health Records, scheduling platforms, and data tracking tools.Prior experience in managed care, care management, or hospital-based care coordination.Bilingual or multilingual ability is a plus, especially in languages relevant to the patient population such as Spanish, Portuguese, and Haitian-Creole.Excellent communication and interpersonal skills.Ability to collaborate effectively with healthcare professionals across multiple disciplines and experiences.Exceptional organizational and time management skills.Exceptional ability to work autonomously while supporting a multidisciplinary team.What You’ll Get
Great benefits and retirement plansExperience navigating a large healthcare system as a liaison to patientsValuable connections in your assigned regionExperience in a fast paced, mission driven organization where the patient comes firstCross collaboration with MGB colleagues, RNs and patient care team
Additional Job Details (if applicable)
Onsite Flexible Working Model Required
M-F Eastern Business HoursOnsite weekly travel includes Somerville / Community practices and regional sites; North Shore, South Shore, Boston, Metro West, Boston proper and can include MA and NH.Coordinators will be assigned a region based on geographic preference and current home addressUp to 5 days onsite weekly at various locations, community practices, must be flexible within assigned region and patient needsMonthly meetings onsite at AR, scheduled with noticeMust be open to Somerville and all local Primary Care sites, local to assigned region, weekly onsite travelRemote work require stable, secure, quiet, HIPPA compliant working stationNorth Region may include:
WDPC, Wentworth Health Partners Dover Family Practice
Wentworth Health Partners Internal Medicine
WHP Dover Women's Health (GYN only)
WDPC, Wentworth Health Partners Durham Health Center
WDPC, Wentworth Health Partners Hilltop Family Practice
Wentworth Health Partners Primary Care - Portsmouth
Mass General Brigham Integrated Care - Salem
WDPC, Wentworth Health Partners Lee Family Practice
Wentworth Health Partners Adult & Children's Medicine
WHP Garrison Women's Health
E
Chestnut Hill
Boston, MA
Charlestown, MA
Chelsea, MA
Everett, MA
Medford, MA
Revere, MA
Somerville, MA
N
Haverhill
Dover, NH
Durham, NH
Hilltop, NH
Salem, MA
Salem, NH
Danvers, MA
Portsmouth, NH
Rowley, MA
Barrington, MA
Bellamy, MA
Beverly, MA
Lawrence, MA
Lynn, MA
Marblehead, MA
Newburyport, MA
Peabody, MA
Saugus, MA
South Bewick, ME (virtual)
Swampscott, MA
Lee, NH
S
Medway
Mendon
Milford
Millis
Milton
Nantucket
Norwood
Oak Bluffs
Pembroke
Scituate
Walpole
West Roxbury
Westwood
Weymouth/Pembroke
Boston, MA
Weymouth, MA
Bellingham, MA
Brookline, MA
Foxboro, MA
Franklin, MA
Jamaica Plain, MA
Medfield, MA
Medway, MA
W
Amherst
Greenfield
Groton
Hadley
Hopkinton
Hudson
Lexington
Marlborough
Maynard
Milford
Needham
Newton
Northampton
Northborough
Northbridge
Oxbow
Southboro
Southborough
Sudbury
Andover, MA
Bedford, MA
Belchertown, MA
Burlington, MA
Concord, MA
Deerfield, MA
Easthampton, MA
Framingham, MA
Watertown, MA
Wellesley, MA
West Roxbury, MA
Westboro, MA
Westford, MA
Weston, MA
Williamsburg, MA
Natick, MA
Waltham, MA
Remote Type
Hybrid
Work Location
399 Revolution Drive
Pay Range
$25.00 - $35.77/Hourly
Grade
5
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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