Job Information
A People Partner LLC Care Managers in Framingham, Massachusetts
Position: Care Managers-Metro West and South of Boston As key members of a Care Team, the Care Manager works with clients and providers face-to-face, over the phone, and through telehealth to identify and address social determinants of health, build up and engage the social support network to help our clients and families navigate through healthcare and other services to support them where they live and through transitions. Northeast Care Managers believe that improving social determinants of health, connections, and an understanding of their disease processes and their goals will improve health outcomes for their clients. Care managers will work hard to develop strong relationships with those involved to leverage available resources to improve their health and well-being. Position Requirements: * The 2 positions cover Metro West and South of Boston with frequent daily automobile travel to meet with clients where in their homes, medical facilities, and/or their communities. * Self-starter with the ability to work independently with minimal supervision. * Ability to show empathy and quickly build relationships with patients and local community-based organizations. * 2+ years of previous experience working in care management, home health, or other healthcare environments. * Ability to take calls remotely on some nights and weekends based on your client\'s needs. * Excellent verbal communication skills both in person and on the phone. * Familiarity with Microsoft Office, Google Suite, and other web-based applications. Roles and Responsibilities: * Perform in-home and telehealth care management visits to assess and impact social and behavioral status. * Work closely with the client and family to ensure continual progress on all care management goals. * Assess social determinants of health needs and develop care plans and recommendations. * Perform behavioral, environmental, and social support assessments as needed. * Engage family and social support groups in the education and care of patients. * Assess clients and refer them to behavioral health specialists. * Help patients understand, accept, and follow medical and lifestyle recommendations. * Serve as the point of contact for patient questions regarding social and behavioral items. * Facilitate conversations around and consideration of proactive care decisions. * Review and document patient updates and progress in the care management platform timely. * Identify and build relationships with referral sources. * Introduce patients to appropriate resources and act as the patient advocate. * Support Northeast Care Management as necessary with any tasks required to deliver excellent personalized care and perform all other duties as assigned. * Uphold the mission and values of Northeast Care Management in all aspects of your role and activities. Qualifications: * Must have a valid driver\'s license, available car, and be willing to travel in the area assigned. * Must be able to pass a CORI check. * Must have computer skills and be familiar with Google Suite and Microsoft Office. * Prolonged periods sitting at a desk and working on a computer. * Must be able to lift to 15 pounds. * Travel Required daily throughout the service area. Travel to training and meetings as needed.