Care Manager-PHO

Job Ref: 18066
Category: Nurse Case Manager
Emerson Hospital, Baker Ave Facility, 310 Baker Ave, Concord, MA 01742

Department: PHO Care Management
Schedule: Full Time
Shift: Day shift
Hours: 8:30am-5:00pm

Job Summary
• The Care manager will be responsible for establishing, implementing, monitoring and evaluating care plans for a designated group of “high-risk” patients in the ambulatory setting. The Care Manager will work directly with physicians, health care teams, patients and their care-givers in managing the patient’s care. This position requires sound clinical judgment, effective problem solving skills, excellent organizational and interpersonal skills and the ability to work independently. General knowledge of team-based care concepts, health services across the continuum of care and insurance benefit design. Ability to multi-task.
Job Functions
• Conducts outreach and education to patients identified as needing care coordination.
• Consults with PCPs, specialists and other members of the care team regarding care plans.
• Initiates telephonic or in-person contact with eligible patients requiring initial assessment.
• Demonstrate excellent interpersonal skills and develop rapport with physicians, patients and their families.
• Serve as key contact to assigned patients and help to influence appropriate utilization of health care services.
• Maintains and supports patient’s rights to care, privacy and respect. o Other duties as assigned from time to time.
Minimum Qualifications
• Education
• BSN preferred
• Experience
• Minimum of 5 years in care management role
• Licensure and/or Certification
• RN Licensed to practice in MA
• Skills
• Excellent customer service skills.
• Must be able to read, write, and communicate in English.
• Computer skills required.
• Ability to maintain confidential information.