Nurse Care Manager

Department Of Population Medicine Wellesley , MA 02482

Posted 1 week ago

Are you interested in becoming part of a dynamic team that is looking to innovate and improve?

Would you like to work for a company that has been rated by the BBJ (15 yrs) as one of the best places to work?

Do you want to be part of a company that is committed to giving back to the community?

Harvard Pilgrim Health Care is currently seeking highly motivated individuals to join our organization as Nurse Care Manager. The Nurse Care Manager serves as care manager to members across the continuum and collaborates with care managers from vended programs.

WHAT YOU WILL BE DOING

  • Assesses, plans, implements, documents, coordinates, monitors, and evaluates the plan of care by collaborating with the members, family members/DPR, physician, the health care team, providers, and employer groups, as appropriate.

  • Researches, evaluates, and recommends resources to meet medical and non-medical needs of members. Collaborates, refers, and communicates across all programs to ensure appropriate coordination of services.

  • Identifies problems and possible solutions in the coordination of care to determine most appropriate setting. Applies motivational interviewing techniques to engage members in achieving their health goals

  • Functions as a liaison to promote effective working relationships with providers and as a resource/ consultant for other nurse care managers and departments within HPHC.

  • Reports clinical occurrences to appropriate designee. Performs concurrent review using HPHC criteria and guidelines to determine when services are no longer medically necessary and to transition to appropriate level of care.

  • Perform out-of-the-box thinking, collaborate with others, and make a difference every day!

  • Other duties and projects as assigned.

WHAT YOU NEED

  • Registered nurse, BSN required or appropriate experience and/or education. Minimum 5 years' professional clinical experience in a clinical setting; Active licensure in required states with Certification in a specialty area.

  • Experience with care management, discharge planning, and electronic medical record systems.

  • Patient teaching/education/home care background; knowledge in motivational interviewing techniques. Ability to sway others in acceptance of an idea, plan, or activity; able to assess both physical and psychosocial problems.

  • Car and Valid Driver's License, excellent telephonic problem solving, organizational, communication, and interpersonal skills.

  • Resilient, collaborative, self-motivated, flexible, innovative.

WHAT MAKES US STAND OUT

  • Work-Life-Flexibility

  • Paid volunteer time off (up to 3 days annually)

  • Open Time Off

  • Annual Mini-Grant of $500 donated to a non-profit organization of the employee's choice

  • Educational Reimbursement

Working Environment

Varies between HPHC offices and home office conditions and onsite work at various locations within HPHC service area. Travel may be required within the Harvard Pilgrim service area.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.


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Nurse Care Manager

Department Of Population Medicine