Our client, a Medical Center company, is looking for a RN - Pop-Health Care Management for their Boston, MA/Remote location.
Responsibilities:
- This position is for an ambulatory RN Case Manager within the Population Health Department, Complex Care management ACO program, providing intensive, non-hands-on clinical care management services to high-risk Medicaid patients through telephonic and in-person engagement. The role requires flexibility to conduct home visits and provide onsite coverage at multiple primary care practices, supporting patients with chronic disease education, medication reconciliation, post-discharge assessments, comprehensive intake assessments, and coordination of medical, behavioral health, primary care, and specialty services. The RN will manage an active panel of enrolled patients in complex care management, focusing on addressing barriers to care, improving health outcomes, and preventing avoidable emergency department visits and hospitalizations. Initially, this temporary position will provide coverage for existing RN vacancies, with assignments subsequently transitioning across ambulatory care management teams to accommodate multiple consecutive maternity leaves. Given the rotating coverage needs, the individual must be adaptable, comfortable working across multiple practice settings, and capable of maintaining continuity of care for patients throughout these transitions.
- RN will be required to utilize Jiva, our internal care management platform, and may also need to navigate additional electronic medical record (EMR) systems, such as different versions of Epic (Emerge, Ochin, etc), depending on the primary care practice and patient panel assigned. Strong technical proficiency, attention to detail, and the ability to adapt quickly to different documentation systems and workflows are essential.
Requirements:
- A minimum of two years of clinical experience with care management experience
- Experience working with vulnerable patient populations
- Home care or clinic
- Motivational interviewing
- Clinical experience working with patients with multiple complex health issues
- Pref certs: CCM or related cert
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities