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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 Opportunity
As part of The Integrated Care Management Program (iCMP) You will support and coordinates health care for primary care patients with complex health issues.
The Complex Care Coordinator is vital to the multi-disciplinary team of clinicians serving MGBs 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 Youll 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
What Youll Bring
- Bachelors 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 Youll Get
- Great benefits and retirement plans
- Experience navigating a large healthcare system as a liaison to patients
- Valuable connections in your assigned region
- Experience in a fast paced mission driven organization where the patient comes first
- Cross collaboration with MGB colleagues RNs and patient care team
Additional Job Details (if applicable)
Onsite Flexible Working Model Required
- M-F Eastern Business Hours
- Onsite 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 address
- Up to 5 days onsite weekly at various locations community practices must be flexible within assigned region and patient needs
- Monthly meetings onsite at AR scheduled with notice
- Must be open to Somerville and all local Primary Care sites local to assigned region weekly onsite travel
- Remote work require stable secure quiet HIPPA compliant working station
Hybrid
399 Revolution Drive
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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 Veterans 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 .
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.