Chronic Care Coordinator
3 weeks ago
We are seeking a skilled Chronic Care Assistant to join our Population Health Management team at Mass General Brigham. The successful candidate will provide operational support in clinical operations focused on chronic care management, coordinating care for patients with chronic conditions.
Key Responsibilities- Conduct initial intake and assessment for patients identified or referred by a primary care clinician.
- Deliver patient and caregiver condition-specific care protocols as appropriate.
- Provide education to patient/caregiver on disease-specific information.
- Manage data entry into Mass General Brigham EPIC system or other patient database.
- Schedule initial patient virtual visit.
- Evaluate and track patient enrollment status in the program.
- Establish and schedule standard cadence for follow-up with patient. Connect patient to appropriate resources.
- Manage care coordination needs for patient being followed, including social-related health needs.
- Work closely with programs' interdisciplinary teams in providing patient care.
- Support administrative needs of central team as needed.
- Bachelor's degree with 2 years of healthcare experience (internships and fellowships are considered as experience).
- A combination of education and experience in a healthcare or related setting may be substituted for requirements.
This is a full-time position with a standard 40-hour workweek. The role will primarily work at the MGB office in Assembly Row with an ability to flex to remote work or travel to MGB primary care practice locations and community settings as needed.
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Healthcare Professional
3 weeks ago
Somerville, Massachusetts, United States Mass General Brigham (Enterprise Services) Full timeJob SummaryThe Clinical Care Assistant will provide operational support in PHM clinical operations focused on chronic care management. The role will coordinate care for patients with chronic conditions, including Dementia, Chronic Kidney Disease, Hypertension, Congestive Heart Failure, and patients with multiple chronic conditions defined as high risk.Key...
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Senior Care Transition Specialist
3 weeks ago
Somerville, Massachusetts, United States Mass General Brigham Full timeAbout the Role:Mass General Brigham is seeking an experienced Care Transition Specialist to lead our Post-Acute Capacity team. As a key member of our Care Continuum Management team, you will be responsible for coordinating care transitions, managing system referrals, and acting as an advocate for patients and their families.Key Responsibilities:Coordinates...
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RN Care Coordinator
3 weeks ago
Somerville, Massachusetts, United States Della Infotech Full timeCare Management RN Job DescriptionAt Della Infotech, we are seeking a skilled RN Care Manager to join our team. As a Care Manager RN, you will play a critical role in assisting with care coordination for our Medicaid population. This is a fully remote position, and we require candidates to have experience in care management and care coordination. Key...
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Geriatric Care Manager
3 weeks ago
Somerville, Massachusetts, United States US Tech Solutions Full timeJob Summary:US Tech Solutions is seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for managing the care of frail elderly members, working closely with physicians, caregivers, and other healthcare professionals to develop and implement comprehensive care plans.Key Responsibilities:Conduct...
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Ambulatory Care Registered Nurse
4 weeks ago
Somerville, Massachusetts, United States Mass General Brigham Full timeAbout the RoleWe are seeking a highly skilled Ambulatory Care Registered Nurse to join our team at Mass General Brigham. As a Primary Care RN, you will play a vital role in providing exceptional patient care and working collaboratively with our multi-disciplinary team.Responsibilities will include:Providing culturally sensitive, patient-centered care to...
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Care Management Coordinator
3 weeks ago
Somerville, Massachusetts, United States Bay Cove Human Services Full timeJob Summary:The Case Manager is responsible for providing recovery-oriented supportive counseling, individual and group, to residents with varying levels of impairment from substance use and mental health disorders. They develop and implement therapeutic treatment plans in the framework of recovery, addressing both substance use and mental health...
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Somerville, Massachusetts, United States Inova Health System Full timeInova Health System is seeking a highly skilled Registered Nurse (RN) to join our team as a Renal PCU - Progressive Care Unit Coordinator.Job Summary:As a Renal PCU - Progressive Care Unit Coordinator, you will be responsible for providing exceptional care to patients undergoing renal and pancreas transplants. You will work closely with the multidisciplinary...
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RN Case Manager
4 weeks ago
Somerville, Massachusetts, United States Massachusetts General Hospital Full timeThe RN Case Manager at Massachusetts General Hospital plays a vital role in facilitating a seamless discharge plan for patients admitted to Home Hospital. This involves coordinating post-acute care and services to ensure a smooth transition from hospital to home.Key responsibilities include:Developing and implementing individualized discharge...
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Ambulatory Care Registered Nurse
3 weeks ago
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RN Clinical Coordinator
3 weeks ago
Somerville, Massachusetts, United States RWJBarnabas Health Full timeJob Overview:RWJBarnabas Health is seeking a skilled RN Clinical Coordinator to join our team in Somerville, NJ. As a Clinical Coordinator, you will provide nursing care in the acute care setting, adhering to the Nursing Practice Act and regulatory standards. Your responsibilities will include directing and supervising patient care functions, supervising and...
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Nurse Coordinator
4 weeks ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob DescriptionMass General Brigham is seeking a highly skilled and experienced Nurse Coordinator to join our team in Somerville, Massachusetts.Job SummaryThe Nurse Coordinator will provide leadership and coordination of nursing care for pediatric gastroenterology patients, ensuring the highest quality of care and patient satisfaction.Key...
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LPN Case Manager
1 month ago
Somerville, Massachusetts, United States Zufall Health Center Full timeJob SummaryThe LPN Case Manager will provide comprehensive patient-centered care, ensuring timely and coordinated access to primary medical care, medications, and other support services. This role will work closely with a multi-disciplinary team to address the needs of patients requiring high-risk patient care, including those living with HIV/AIDS.Key...
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Nurse Care Specialist
4 weeks ago
Somerville, Massachusetts, United States BAYADA Home Health Care Full timeBAYADA Home Health Care is seeking a skilled Nurse Care Specialist for a nursing job in a designated geographic territory.Job Description & RequirementsSpecialty: Home Health Discipline: RN Duration: Ongoing Employment Type: Staff $10,000.00 SIGN-ON BONUSNurse Care Specialist - Home Health VisitsFull-Time with Comprehensive Benefits Package ANDWork/Life...
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Resident Assessment Coordinator MDS
4 weeks ago
Somerville, Massachusetts, United States Christian Horizons Full timeOverviewAt Christian Horizons, we're committed to providing exceptional care to our residents. As a Resident Assessment Coordinator MDS, you'll play a vital role in ensuring the quality of care we provide meets the highest standards.We're seeking a skilled and compassionate professional to join our team. As a Resident Assessment Coordinator MDS, you'll be...
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Dialysis Nurse
3 weeks ago
Somerville, Massachusetts, United States Dialysis Clinic Inc Full timeOverviewDialysis Clinic, Inc. is a leading nonprofit organization dedicated to providing individualized care for patients with chronic kidney disease. Our mission emphasizes the importance of patient care, and our team embodies this commitment in every interaction. We seek motivated and compassionate individuals to provide top-notch patient care and offer...
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Lung Transplant Nurse Coordinator
4 weeks ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob SummaryMass General Brigham is seeking a highly skilled Lung Transplant Nurse Coordinator to join our team. As a key member of our transplant program, you will be responsible for coordinating the post-transplant care of patients, ensuring seamless transitions between hospital and home care. Your expertise in pulmonary and thoracic surgery will be...
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Nurse Practitioner
1 month ago
Somerville, Massachusetts, United States Incredible Health Full timeJob Title: Staff Nurse (RN)Incredible Health is actively hiring for a Staff Nurse (RN) position in the Somerville, NJ area. This is a fantastic opportunity for nurses with experience in various specialties to join our team.Job Summary:We are seeking a highly skilled and compassionate Registered Nurse to provide exceptional patient care in our...
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Geriatric Case Manager
4 weeks ago
Somerville, Massachusetts, United States US Tech Solutions Full timeJob Title: Geriatric Case ManagerJob Summary:We are seeking a skilled Geriatric Case Manager to join our team at US Tech Solutions. As a Geriatric Case Manager, you will be responsible for managing all aspects of member care for a panel of frail elderly, while working within a healthcare team.Key Responsibilities:Conduct timely geriatric assessments and...
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Resource Coordinator
3 weeks ago
Somerville, Massachusetts, United States Mass General Brigham (Enterprise Services) Full timeAt Mass General Brigham (Enterprise Services), we are committed to delivering exceptional patient care and innovative solutions to improve health outcomes. As a Community Resource Specialist, you will play a vital role in our Integrated Care Management Program (iCMP), working closely with a multidisciplinary care team to connect patients to essential...
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Clinical Nurse Coordinator
1 month ago
Somerville, Massachusetts, United States Incredible Health Full timeIncredible Health is actively hiring for a Clinical Nurse Coordinator in the Somerville, NJ area. We're seeking experienced nurses with a strong background in leadership and patient care. If you have a passion for delivering exceptional patient outcomes and leading a team, we want to hear from you.Key Responsibilities:Coordinate patient care services by...