Massachusetts Veterans Jobs

As a critical member of the Case Management Care Team, Registered Nurse Case Manager, works with medically complex adult patients to reach their health care goals and improve their lives following the short term Complex Care Management model. The CCM Team includes Community Health Workers to improve outcomes for patients. At NBCH we provide high quality care to meet the needs of our diverse patients. We offer a variety of services to the community, including Primary & Urgent care, Women?s Health, Pediatrics, Adult Medicine, Behavioral Health, Dental Care and Office-Based Addiction Treatment Who we\'re looking for: Ability to apply critical thinking skills and make sound judgments both while performing daily responsibilities and throughout the patient?s continuum of care. Knowledge of the Case Management process and the Patient Centered Medical Home (PCMH) Effective oral and written communication skills. Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate effectively with all levels of staff and management. Detail orientated, thorough, and able to handle multiple tasks and projects with varying deadlines and priorities. Ability to work with a registry and an Electronic Health record. We offer a work/life balance that other organizations may not be able to provide: Monday - Friday: No nights and Weekends off. Closed when traveling conductions are deemed too dangerous for staff & patients means less child care hassles when school is cancelled Affordable, low deductible Medical Insurance that starts on day 1 23 personal days off a year. An additional 12 paid holidays. Tuition reimbursement No cost Short Term Disability Insurance No cost Life insurance Opportunities in urgent care, women\'s health, pediatrics, adult medicine, infectious disease and possible growth to Nurse Manager. \$120 Bi-weekly stipend for BSN \$5 per hour weekend differential \$2 per hour preceptor differential Qualifications Essential Functions: Use case management processes to assure quality care is delivered to the practice\'s patients, the patient\'s families, and the patient\'s caregivers in the most efficient and effective manner across the healthcare continuum. Engage patients, patient\'s families and their caregivers in understanding, setting, and monitoring patient self-management care plans in a manner that is culturally and linguistically appropriate to the patient and caregiver. Complete health risk assessments as a foundation for developing individualized care plans and outcome goals for patients and their families. Coordinate the patient\'s care by facilitating patient, family or other care giver access to Medical Home/Behavioral Health providers, Staff and resources as needed by the patient. Develop and maintain relationships among patients, patient\'s families, and the patient\'s care team that support patient?s access to the Medical Home. Act as the primary contact point, advocate and source of information for patients and the community partners who help treat them Research, find, and link patients to resources, services and support mechanisms for their care plans and self care management needs. Provide timely communication with patients, make inquiries, execute follow-up actions and help to integrate information into the care plan. Assist the care team in performance evaluation and quality improvement. Participate in continuing professional growth through attendance at workshops and Professional in-services and through individual research and reading, to include communication skills. Demonstrate flexibility, enthusiasm, and willingness to cooperate while working with others in multidisciplinary teams with activities to include participating in daily huddles