Nursing Jobs in Needham, MA
$90,000 - $120,000 / year
Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position focuses on integrating health services and community resources to coordinate enrollee care for improve health outcomes and enhanced quality of life. Essential Functions: Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship, while considering the cultural and linguistic needs of each member. Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions. Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments Engage enrollees in care plan development and implementation, providing routine updates as the enrollee’s status changes Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization, to create holistic care plans that address medical and non-medical needs. Oversee enrollee utilization of long-term services and supports, ensuring appropriate systems are in place for enrollees to remain in the location of their choice Assist members in accessing community resources, including housing, transportation, food assistance, and social services. Educate members about their benefits and available services under both Medicare and Medicaid. Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care. Promote healthy lifestyle choices and self-management strategies. Assist enrollees in preventative health strategies, including gap closure Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions. Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information. Coordinate with community-based organizations, other stakeholders/entities, state agencies, and other service providers to ensure coordination and avoid duplication of services. Advocate for the needs and preferences of enrollees within the healthcare system. Evaluate member satisfaction through open communication and monitoring of concerns or issues. Regular travel to conduct member, provider and community-based visits as required Report abuse, neglect, or exploitation of older adults and adults with disabilities as a mandated reporter as required by State law. Adherence to NCQA and Care Management standards Performs any other job related duties as requested. Education and Experience: Associates of Science (A.S) degree in nursing from an accredited nursing program required or Master's degree in social work or mental health counseling and independent license required Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with people with complex medical, behavioral and social needs as an LPN, CHW, MA required Prior experience in care coordination, case management, or working with dual-eligible populations preferred Medicaid and/or Medicare managed care experience preferred Competencies, Knowledge and Skills: Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel. Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries. Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers Ability to manage multiple cases and priorities while maintaining attention to detail. Adhere to code of ethics that aligns with professional practice. Awareness of and sensitivity to the diverse backgrounds and needs of the populations served Decision making and problem-solving skills. Ability to function independently and effectively as part of an interdisciplinary team Strong and effective communication skills, both written and verbal Strong interpersonal and customer relations skills Strong customer service skills Licensure and Certification: Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or a Licensed Mental Health Counselor (LMHC) required Case Management Certification is highly preferred Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members Must live within commutable distance to the Commonwealth of Massachusetts Over 50% (Mobile) Routine travel required Compensation Range: $90,000 - $120,000 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. 
$107,000 - $224,123 / year
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22190 Facility: LOC0020 - 143 Longwater Norwell143 Longwater Drive Norwell, MA 02061 Department Name: SMC Family Medicine PB Status: Full time Budgeted Hours: 40 Shift: Varied Shifts (United States of America) Under general direction of the Chief of Internal Medicine and Family Medicine, assumes full responsibility for the rendering of professional medical services to patients in ambulatory care setting. Works in a collaborative team practice that recognizes the patient as the center of the team. Promotes enhanced continuity, visible teamwork, and the establishment of trusting and effective individual relationships with patients. Provides the full scope of the primary care services within a team-based practice; specific duties and schedule may vary on a weekly basis depending on departmental needs. Roles may include acting as a support APC for a team temporarily, stepping in for one or more clinicians on a leave of absence, and providing hospital discharge follow-up or same day appointments for clinicians in IM/FM. Acts as a mentor and role model to professional staff within the department. Compensation Pay Range: $107,000.00 - $224,123.00 ESSENTIAL FUNCTIONS Responsible for the comprehensive, longitudinal clinical and administrative coordination of all care for a specific panel of patients. Performs all activities related to the examination, diagnoses and treatment of patients in a primary care setting, including: physical assessment and treatment; supervision of care plan, to include consultations, referrals and communications with and to specialists as appropriate. Performs comprehensive health and developmental exams through baseline histories, review of systems and physical exams. Differentiates normal from abnormal findings. Oversees the monitoring and management of patients with acute and chronic illnesses. Adjusts treatment regimens based on the patient’s response to treatment. Ensures that the on-going management of patients with certain chronic diseases is coordinated between all members of the primary care team, subspecialty clinicians and case management. Partners with patients and families to manage care plan. Demonstrates empathy and effective communication skills in patient and family interactions. Consults and collaborates with colleagues, as necessary, in a team-based model of care. Prescribes medications in accordance with Massachusetts statutes and professional guidelines. Reviews incoming clinical data and follows up in a timely manner. Provides consultation regarding hospitalized patients in the panel. Efficiently and fully utilizes the electronic medical record to manage his/her practice through effective communications and documentation, including inbox management. Adheres to standards of daily task management as set by department. Adheres to departmental productivity and panel standards. Adheres to quality and patient experience performance measures. JOB REQUIREMENTS Minimum Education - This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Graduate of a state-approved Program for Nurse Practitioner or Physician Assistant. Master’s degree required. Possess national certification as a Nurse Practitioner or Physician Assistant. Must possess and maintain or be eligible for Mass DPH Controlled Substances registration and DEA registration. Minimum Work Experience 2 years of Primary Care experience, preferred. Required Licenses / Registrations Nurse Practitioner - Board of Registration in Nursing (Massachusetts) or Physician Assistant - Board of Registration of Physician Assistants (Massachusetts) Required Classes/Skills - BLS - Basic Life Support Required additional Knowledge, and Abilities Good organizational skills. Ability to manage multiple tasks in a busy clinical environment. Exceptional customer service skills. Above average and oral and written and communication skills. Demonstrated ability to work independently. Ability to effectively communicate and work with physicians, residents, nurses, patients, families, staff, other health care professional, and management. Ability to work as a team member is necessary for this position. Able to use all electronic tools and applications relevant to the performance of the duties of the position, including but not limited to phone, keyboard, computer and computer applications. Demonstrated successful completion of the SSH Credentialing process. Typically, M-F, additionally six weekends per year and one holiday every two years. Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Certified Nurse Practitioner - Board of Registration in Nursing (Massachusetts) $107,000 - $224,123 / year
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22189 Facility: LOC0020 - 143 Longwater Norwell143 Longwater Drive Norwell, MA 02061 Department Name: SMC Internal Medicine PB Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under general direction of the Chief of Internal Medicine and Family Medicine, assumes full responsibility for the rendering of professional medical services to a panel of patients in ambulatory care setting. Works in a collaborative team practice that recognizes the patient as the center of the team. Promotes enhanced continuity, visible teamwork, and the establishment of trusting and effective individual relationships with patients. Provides the full scope of the primary care services within a team-based practice. Acts as a mentor and role model to professional staff within the department. Compensation Pay Range: $107,000.00 - $224,123.00 ESSENTIAL FUNCTIONS Responsible for the comprehensive, longitudinal clinical and administrative coordination of all care for a specific panel of patients. Performs all activities related to the examination, diagnoses and treatment of patients in a primary care setting, including physical assessment and treatment; supervision of care plan, to include consultations, referrals and communications with and to specialists as appropriate. Performs comprehensive health and developmental exams through baseline histories, review of systems and physical exams. Differentiates normal from abnormal findings. Oversees the monitoring and management of patients with acute and chronic illnesses. Adjusts treatment regimens based on the patient’s response to treatment. Ensures that the on-going management of patients with certain chronic diseases is coordinated between all members of the primary care team, subspecialty clinicians and case management. Partners with patients and families to manage care plan. Demonstrates empathy and effective communication skills in patient and family interactions. Consults and collaborates with colleagues, as necessary, in a team-based model of care. Prescribes medications in accordance with Massachusetts statutes and professional guidelines. Reviews incoming clinical data and follows up in a timely manner. Provides consultation regarding hospitalized patients in the panel. Efficiently and fully utilizes the electronic medical record to manage his/her practice through effective communications and documentation, including inbox management. Adheres to standards of daily task management as set by department. Adheres to departmental productivity and panel standards. Adheres to quality and patient experience performance measures. JOB REQUIREMENTS Minimum Education - This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Graduate of a state-approved Program for Nurse Practitioner or Physician Assistant. Master’s degree required. Possess national certification as a Nurse Practitioner or Physician Assistant. Must possess and maintain or be eligible for Mass DPH Controlled Substances registration and DEA registration. Minimum Work Experience 2 years of Primary Care experience, preferred. Required Licenses / Registrations Nurse Practitioner - Board of Registration in Nursing (Massachusetts) or Physician Assistant - Board of Registration of Physician Assistants (Massachusetts) Required Classes/Skills - BLS - Basic Life Support Required additional Knowledge, and Abilities Good organizational skills. Ability to manage multiple tasks in a busy clinical environment. Exceptional customer service skills. Above average and oral and written and communication skills. Demonstrated ability to work independently. Ability to effectively communicate and work with physicians, nurses, patients, families, staff, other health care professional, and management. Ability to work as a team member is necessary for this position. Able to use all electronic tools and applications relevant to the performance of the duties of the position, including but not limited to phone, keyboard, computer and computer applications. Demonstrated successful completion of the SSH Credentialing process. Typically, M-F 8A-5P, additionally six weekends per year, one holiday every two years as part of regular schedule Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Certified Nurse Practitioner - Board of Registration in Nursing (Massachusetts) 
