Bft RN Care Coordinator
Job Location:
Somerville, NJ - USA
Hourly Salary:
Posted on:
Vacancies:
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Bulfinch Temporary Service is hiring for a Care Coordinator to work on the Community Care vans! Please note that this position is temporary in nature but is long term. There are no benefits associated with this role. It is M-F 8:30-5pm.Qualifications
Mass General Brigham (MGB) Community Health is committed to improving health outcomes for all. The Clinical-Community Programs team in the Office of the Chief Medical Officer develops and implements innovative community-based models of care that improve access to preventive services strengthen care coordination and address the social and clinical factors that influence health outcomes. This portfolio includes the Community Health Improvement (CHI) Corps the MGB Community Care Vans and other community-based clinical initiatives designed to improve health of the populations we serve.
The Care Coordinator RN is a key member of the Clinical Community Programs team and will work collaboratively with the Senior Medical Director of Clinical Community Programs physicians advanced practice providers CHI Specialists primary care teams and community partners to coordinate care for patients across community-based programs. The role supports clinical operations patient navigation care coordination referral management quality improvement initiatives and performance management that enhance access to care and improve health outcomes.
A primary responsibility of this position is supporting the Community Health Improvement (CHI) Corps and Community Care Vans with a particular focus on initiatives related to hypertension (HTN) management colorectal cancer (CRC) screening and other preventive health priorities. The RN will also provide clinical care coordination and operational support across additional Clinical Community Programs as organizational needs evolve.
The RN Care Coordinator will assist with patient outreach care coordination referral management follow-up activities and interdisciplinary communication across multiple neighborhoods and clinical programs. This role requires a strong understanding of community health culturally responsive communication care coordination strategies and the ability to work effectively across both clinical and community settings.
This position reports directly to the Senior Medical Director of Clinical Community Programs.
Additional Job Details (if applicable)
- Collaborate closely with CHI Specialists and Community Care Van teams to support care coordination across designated priority neighborhoods.
- Collaborate closely with the Senior Medical Director of Clinical Community Programs on clinical questions case review protocol development and care coordination strategies.
- Serve as a clinical resource to Community Health Improvement (CHI) Specialists and other program staff by providing guidance on clinical workflows patient navigation and appropriate escalation of clinical concerns.
- Conduct remote patient outreach via phone and virtual platforms to support improved health outcomes preventive care initiatives and continuity of care.
- Coordinate follow-up care for patients identified through community outreach screenings and Clinical Community Program initiatives.
- Facilitate referrals and warm handoffs between patients primary care providers specialists community-based organizations and other internal and external resources.
- Provide culturally responsive patient education related to hypertension prevention and management colorectal cancer screening chronic disease management preventive care and wellness.
- Support clinical care coordination across Clinical Community Programs including participation in new program implementation and workflow development as organizational priorities evolve.
- Review patient registries identify care gaps and assist with outreach strategies to improve quality metrics and patient outcomes.
- Support initiatives aimed at improving health outcomes across underserved communities through evidence-based community-centered care coordination.
- Document patient interactions care coordination activities and interventions accurately within the electronic medical record and other designated systems.
- Support data tracking documentation reporting and analysis related to patient outreach clinical outcomes and program performance.
- Participate in interdisciplinary meetings case conferences and quality improvement initiatives to optimize patient care and operational workflows.
- Support program performance management by monitoring key performance indicators identifying opportunities for improvement and collaborating with interdisciplinary team members to enhance program quality operational efficiency and patient outcomes.
- Support quality assurance activities by promoting adherence to program standards clinical workflows documentation requirements evidence-based practices and organizational policies while identifying opportunities for continuous quality improvement.
- Maintain patient confidentiality and comply with all organizational privacy regulatory and compliance standards.
- Stay current on best practices in care coordination population health and community-based nursing to support continuous program improvement.
- Perform other duties as assigned in support of the Clinical Community Programs portfolio.
Qualifications -
- Current Massachusetts Registered Nurse (RN) licensure required.
- Bachelor of Science in Nursing (BSN) preferred.
- Minimum of 3-5years of nursing care coordination population health or community health experience preferred.
- Experience working in community-based settings strongly preferred.
- Experience supporting chronic disease management and preventive health initiatives preferred.
Skills
- Strong care coordination and patient engagement skills.
- Ability to communicate effectively with patients providers and community partners.
- Knowledge of chronic disease prevention and preventive health strategies preferred.
- Ability to work independently in a remote work environment while maintaining strong collaboration with interdisciplinary teams.
- Strong organizational skills and attention to detail.
- Ability to manage multiple priorities and adapt to changing program needs.
- Demonstrated commitment to health equity and culturally responsive care.
- Proficiency with electronic medical records and virtual communication platforms.
- Ability to maintain confidentiality and comply with all local state and federal privacy regulations.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$35.52 - $68.83/HourlyGrade
6NTEMPEEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
