Complex Care Coordinator, Boston

The Opportunity

The Complex Care Coordinator Patient Navigator is vital to the multi-disciplinary team of clinicians serving MGB's highest risk patients. You will coordinate all non-clinical patient needs, help with the connection to the primary care offices and support the patients to achieve their care goals by helping them connect to community resources and services, address social barriers and support patients through reminders and education reinforcement.

You are responsible for working closely with patients, families, and healthcare providers to ensure a seamless and patient-centered care experience. Assist with navigating the complexities of the healthcare system, coordinating resources, and providing support to improve patient outcomes.

• Advocate for patients and their families, ensuring their needs and preferences are considered in the care planning process.
• Serve as a liaison between patients, healthcare providers, and other relevant stakeholders.
• Collaborate with the interdisciplinary healthcare team to coordinate patient care services, appointments, and follow-up plans.
• Assist patients in understanding and adhering to their care plans.
• Identify and connect patients with appropriate healthcare and community resources, such as support groups, financial assistance programs, and transportation services.
• Educate patients and their families about their medical conditions, treatment options, and self-care strategies.
• Ensure that patients are informed and empowered to actively participate in their healthcare decisions.
• Maintain accurate and detailed documentation of patient interactions, care plans, and resource referrals.

• Bachelor's Degree in a health-related field, public health, or human services field required.
• Experience can be reviewed and considered in lieu of degree.
• At least one year of experience in care coordination, population health, or a related healthcare role. Internship or other transferable experience will be accepted.
• Experience in navigating healthcare systems, patient advocacy, and understanding of medical/social services.
• Social work, case management or related field preferred, in a clinical setting.

• Experience documenting in Electronic Health Records, scheduling platforms, and data tracking tools.
• Prior experience in managed care, care management, or hospital-based care coordination.
• Bilingual or multilingual ability is a plus, especially in languages relevant to the patient population such as Spanish, Portuguese, and Haitian-Creole.
• Exceptional communication and interpersonal skills.
• Ability to collaborate effectively with healthcare professionals across multiple disciplines and experiences.
• Exceptional organizational and time management skills.
• Exceptional ability to work autonomously while supporting a multidisciplinary team.

Phyllis Jen Center for Primary Care BWH 45 Francis St, Boston, MA 02115

• M-F Eastern Business Hours required, reliable transportation.
• Hybrid onsite working model, must be flexible for multiple days per week onsite for business needs, BWH and MGH or Downtown Boston area possible or training as needed Boston/Somerville; all employees must be flexible with planning.
• 4-5x weekly onsite.
• Remote work requires stable, secure, HIPAA compliant, quiet work area.

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.