Massachusetts Veterans Jobs

Who We Are:

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens.

From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply.

To learn more about working at BHCHP, watch our video Please Click Here (https://www.bhchp.org/careers) .

Job Summary:

NOW OFFERING A $4,000 SIGN ON BONUS

Hours:    Monday - Friday 8:30am-5:00pm

BHCHP is seeking a Registered Nurse Care Coordinator who is interested in working on a small, tight-knit team that provides care management services to patients enrolled in the OneCare Program. The OneCare program is a state initiative to promote care coordination, continuity of care, and improved health outcomes for those patients under 65 who are eligible for both Medicare and Medicaid.  You will collaborate with OneCare team members to support linkages between enrolled patients and BHCHP medical teams and other providers. You will be required to undergo training from the Commonwealth Care Alliance (CCA) to perform Minimum Data Set (MDS) assessments and create care plans customized to meet the needs of individual patients.  You will also help update these plans annually and when a patient has had a significant change in status.  In this role you will be required to conduct face-to-face outreach to meet with patients, assess their status, and support the patient’s progress toward better health outcomes. You will also connect with patients by phone, communicate with providers about patient needs, and connect patients to needed services including visiting nursing, nutrition, and social services.

P atients may be housed; living in shelters or on the streets and you will need to be resourceful to connect with our patients. It is anticipated that success with connecting with patients will require communication with BHCHP care teams and shelter partners, use of BHCHP and CCA electronic medical records, as well as outreach to patients who are living on the street, shelter, or in temporary or permanent housing.  You will need to remain flexible and creative as this role will continue to expand and evolve as experience is gained with continued participation in the One Care Program.

Responsibilities:

• Assumes responsibility for the coordination of care between BHCHP medical teams and the OneCare program for BHCHP patients who are enrolled in the OneCare Program.

• Inputs authorizations for Durable Medical Equipment and other services (Home Health Aide, Homemaking, Skilled Nursing, Physical Therapy, and Personal Care Attendant) based on MDS assessment.

• Conducts MDS assessments for patients enrolled in the OneCare program and create a plan of care with the patient to reach patient-centered outcomes.

• Collaboratively participates as a member of the primary care team that includes M.D.s, N.P./P.A.s, Clinical RNs, Behavioral Health Clinicians, Medical Assistants, Case Managers and others.

• Communicates with patients and/or caregivers including performing outreach as necessary in the greater Boston area for face-to- face contact to homes, hospitals, other facilities, etc. as needed to assess build relationships, patient status, and identify new care needs.

• Conduct in person and or telephonic follow-up visit for patients who are discharged from an inpatient medical or psychiatric facility; advocates and discuss patient outcomes and trends to CCA (OneCare) insurance during monthly meetings.

• Uses OneCare’s and BHCHP’s Electronic Medical Records (EMR) in a timely manner to note all patient interactions and outcomes accurately and efficiently.

• Communicates clearly and professionally with other members of the interdisciplinary team as well as with patients and caregivers.

• Conforms to BHCHP standards of performance around patient rights, customer service, infection control, safety procedures and culturally competent care.

• Remains flexible in duties as role expands and is available for assistance with other projects as needed.

  Qualifications:

• Licensed as RN in Commonwealth of Massachusetts, previous community health center or primary care experience.

• 1- 2 years RN experience preferred.

• Demonstrated interest in public health, primary and preventive nursing and working with an under-served population.

• Strong medical and surgical assessment skills; understanding of substance abuse and mental health.

• Interest in working with disadvantaged groups.

• Must be well organized, efficient and be able to work autonomously and within a team.  Must be able to collaborate with multidisciplinary teams to achieve best patient care.

• Experience with documenting in EMRs; EPIC, Guiding Care, and ECW strongly preferred; proficient with Microsoft suite and ability to adapt to technological changes.

• Timely and strong communication skills via phone, e-mail, and internal secured messaging systems; ability to prioritize and pay attention to timetables to complete tasks.

• Willingness to travel to outreach/various sites.

• Valid driver’s license and car required or strongly recommended to travel to multiple sites.

  Compensation and Benefits:

  NOW OFFERING A $4,000 SIGN ON BONUS

• The compensation starts at $35.22 per hour and increases based on years of experience.

• BHCHP full time employees are eligible for our competitive time off policy of 4 weeks’ vacation, health, dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass program with 40% discount. In addition, eligible employees will receive yearly increases, additional compensation of seven thousand five hundred dollars added to your base hiring rate for demonstrated bilingual proficiency and the opportunity to work with local hospitals and community health centers.

  Does this amazing opportunity interest you? Then we'd love to hear from you.

  As an Equal Opportunity Employer, BHCHP pledges not to discriminate against and encourages those from underrepresented and underserved backgrounds to apply, particularly Black, Indigenous, and People of Color (BIPOC), LGBTQIA identifying, first generation college students and adults without a college degree, Bilingual and Bicultural persons; and individuals from low economic backgrounds.

  Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

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