Provides outreach and enrollment services to meet eligibility requirements of the program and surrounding counties.
Ensures coordination and planning, including community and family support.
Focuses on the development and coordination of community service plans.
Partners with service providers, families, and patients to create a plan of healthcare and identify additional service providers.
Client assessments and planning.
Modifies patient treatment plans as indicated by patients' responses and conditions.
Prepares patient/family for discharge.
Communicates with third party payers to obtain necessary authorization for reimbursement of services.
Reviews cases with medical directors on challenging cases as needed.
Defines patient care goals.

Associate's Degree Nursing required
Bachelor's Degree Nursing (BSN) preferred
Active Registered Nurse (RN) Licensure for the state of Massachusetts required
2+ years of ambulatory care, practice based case management, primary care case management and/or specialty case management experience required
Home care experience strongly preferred
Hospital case management and/or or discharge planning experience preferred
Experience using EPIC preferred
Experience working at a primary care practice preferred
Ability to speak Spanish for certain primary care practices preferred

RN Nurse Care Manager

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