Complex Care Manager; RN Community Health Care

Complex Care Manager (RN) Community Health Care

Full-time

Olesky Associates, Inc. has been in the placement / recruiting industry for three decades.

We offer an extensive array of services, ranging from physician placement to practice and hospital brokering.

Our Search Consultants located in our home office in Massachusetts utilize a state-of-the‑art computer network and database that allows instant access to all of the information necessary for mutually beneficial placements throughout the country.

This technology, combined with our personal attention and expert screening of each candidate, has made our agency extremely successful in the placement of all specialties, including:

• Family Practitioners
• OB/Gyns
• Hospitalist
• All medical specialties
• All surgical specialties
• LCSW / LICSW/ LMHC / BCBA

Join a diverse and passionate nursing team working to improve patient care and clinical outcomes.

Here is your chance to utilize your voice in patient and community advocacy within a collaborative primary care setting.

This is a great opportunity to work with dedicated and multidisciplinary staff.

• The Complex Care Manager collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing high‑risk registry and reports generated by insurers.
• Formulates and implements a care management plan that addresses the patient's identified needs by assessing the patient/family needs, issues, resources, and care goals; determining the choices available to individual patients; and educating the patient/family on the choices available.
• Establishes a care management plan that is mutually agreed upon by the health care team and the patient/family; evaluates the effectiveness of the plan in meeting established care goals; revises that plan as needed to reflect changing needs, issues, and goals.
• Educates the patient/family, promotes self‑management, and empowers patients/families to achieve maximum levels of wellness and independence through coaching techniques, like motivational interviewing, through telephone calls and in‑office care management visits.
• Develops collaborative working relationships with insurance case managers and other key parties working with a particular patient/family case; negotiates on behalf of the patient with third parties for cost‑effective, high‑quality services, and to maximize the efficient use of resources.
• Serves as primary contact with Beth Israel Deaconess Physician Organization to ensure timely case management of patients in accordance with risk‑based contracts with payers. In conjunction with Medical Director reviews related reports to improve performance on productivity, cost and quality measures.
• Works two‑three sessions per week as a Triage Nurse and the equivalent to two sessions per week seeing patients for face‑to‑face Care Management.

• Bachelor of nursing with at least three years of experience preferably in an ambulatory setting with Family Practice focus;
  Care Management experience preferred.
• Massachusetts Nursing license – RN.
• Experience with telephone assessment and crisis management.
• Excellent communication and documentation skills.

Monday – Friday Schedule - Excellent Compensation and benefits Package

Contact Jerome at Olesky Associates for More Information.

All your information will be kept confidential according to EEO guidelines.