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.


  • 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.


  • 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.


  • 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.


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.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Martech Manager

Aetna Inc.

Posted 2 days ago

VIEW JOBS 3/20/2019 12:00:00 AM 2019-06-18T00:00 Job Description Come and join a high caliber internal team that is redefining the digital experience of our members and provide individual personalized experiences that will help all of us lead healthier lives. POSITION SUMMARY Aetna is enhancing the experience of our members and partners through the development of robust digital experiences based on the Adobe Experience Manager platform. We are looking for a seasoned developer and architect to join our in house development team to help guide the future of our platform and expand content into single page apps and other headless applications. Fundamental Components: The desired candidate will have experience developing scalable web experiences in Adobe Experience Manager version 6.4 Experience developing headless applications using AEM is a must. Experience structuring content within AEM for Omni-channel communications is also highly desireable. Experience with architecture and system configuration to optimize the environment for performance of multiple high volume production sites. BACKGROUND/EXPERIENCE desired: 7+ years of experience in a combination of marketing technology, digital, or information technology. B2B, B2B2C, and B2C digital site management at an enterprise level. Stays current on industry tools and digital technology platforms. EDUCATION The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience. FUNCTIONAL EXPERIENCES Functional - Leadership/Lead a major change effortculture change/4-6 Years Functional - Marketing/Product development/4-6 Years TECHNOLOGY EXPERIENCES Technical - Development Experience/N-Tiered/4-6 Years/Power User Technical - Development Tools//1-3 Years/Power User ADDITIONAL JOB INFORMATION Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately. Aetna Inc. Wellesley MA

Nurse Care Manager

Department Of Population Medicine