Regional Complex Care Coordinator
Regional Complex Care Coordinator
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Job Description
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
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 New Hampshire and surrounding Metro Boston Boston proper North Shore South Shore Metro West and New Hampshire sites within region. 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 teams 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 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
Qualifications
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; MA New Hampshire Regions include 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
10 Coordinator positions open in North: Dover Barrington Rochester South Berwick ME.
North Region includes:
WDPC Wentworth Health Partners Dover Family Practice
Wentworth Health Partners Internal Medicine
WHP Dover Womens 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 & Childrens Medicine
WHP Garrison Womens 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
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
Work Location
Pay Range
$25.00 - $35.77/HourlyGrade
5EEO Statement:
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.
Required Experience:
IC
Employment Type
Full-Time
