2304494 - RN Field Clinical Care Coordinator

5k Sign on bonus!

RN Field Clinical Care Coordinator, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the members’ needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

If you reside within a commutable distance to the Boston market in the following areas of Allston, Back Bay, Brighton, Fenway, Jamaica Plain, Kenmore/Fenway, Mission Hill, Roxbury, West Roxbury, South End Boston, MA, Beacon Hill, Charlestown, Dorchester, East Boston, North End, South Boston, South Cove, West End, Roslindale, Hyde Park, and Mattapan, you will have the flexibility to work telecommute* as you take on some tough challenges. 

This is a Field-based role. Expect to spend about 50% of your time in the field visiting our members in their homes or in long-term care facilities. You’ll need to be flexible, adaptable and, above all, patient in all types of situations. 

Primary Responsibilities:

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
• Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Manage the care plan throughout the continuum of care as a single point of contact
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members