Regional Complex Care Coordinator
About The Position
As part of The Integrated Care Management Program (iCMP), You will support and coordinates health care for primary care patients with complex health issues. Our team’s guiding principles are to: Keep patients healthy and at home as long as possible Better understand our patients’ health needs to guide timely and effective care Use performance and benchmark data to identify and act on opportunities for improvement Strengthen our performance in risk contracts so we can reinvest in our patients by partnering with providers across our hospitals and clinics to develop impactful interventions The Complex Care Coordinator is vital to the multi-disciplinary team of clinicians serving MGB’s highest risk patients. The Complex Care Coordinator will coordinate all non-clinical patient needs, help with the connection to the primary care offices and support the patients to achieve their care goals by helping them connect to community resources and services, address social barriers and support patients through reminders and education reinforcement. Responsible for working closely with patients, families, and healthcare providers to ensure a seamless and patient-centered care experience. Assist with navigating the complexities of the healthcare system, coordinating resources, and providing support to improve patient outcomes.
Requirements
- Bachelor's Degree in a health-related field, public health, or human services. Related experience in lieu of degree may be reviewed and considered.
- Minimum one year experience in care coordination, population health, or a related healthcare role. Internship or other transferable experience will be accepted.
- Experience in navigating healthcare systems, patient advocacy, and understanding of medical/social services.
- Experience documenting in Electronic Health Records, scheduling platforms, and data tracking tools.
- Excellent communication and interpersonal skills.
- Ability to collaborate effectively with healthcare professionals across multiple disciplines and experiences.
- Exceptional organizational and time management skills.
- Exceptional ability to work autonomously while supporting a multidisciplinary team.
- Reliable transportation required
- Must be open to Somerville and assigned Primary Care sites, local to assigned region for weekly onsite commuting needs
Nice To Haves
- Bilingual Spanish / English highly preferred for many sites, including Boston and Jaimica Plain sites.
- Prior experience in managed care, care management, or hospital-based care coordination.
- Bilingual or multilingual ability is a plus, especially in languages relevant to the patient population such as Spanish, Portuguese, and Haitian-Creole.
Responsibilities
- Advocate for patients and their families, ensuring their needs and preferences are considered in the care planning process.
- Serve as a liaison between patients, healthcare providers, and other relevant stakeholders.
- Collaborate with the interdisciplinary healthcare team to coordinate patient care services, appointments, and follow-up plans.
- Assist patients in understanding and adhering to their care plans.
- Identify and connect patients with appropriate healthcare and community resources, such as support groups, financial assistance programs, and transportation services.
- Educate patients and their families about their medical conditions, treatment options, and self-care strategies.
- Ensure that patients are informed and empowered to actively participate in their healthcare decisions.
- Maintain accurate and detailed documentation of patient interactions, care plans, and resource referrals
Benefits
- Great benefits and retirement plans
- Experience navigating a large healthcare system as a liaison to patients
- Valuable connections in your assigned region
- Experience in a fast paced, mission driven organization where the patient comes first
- Cross collaboration with MGB colleagues, RNs and patient care team
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
