Care Coordinator Case Manager job at reputed company in Somerville, MA, Plymouth, MA, Beverly, MA, Revere, MA, Quincy, MA, Boston, MA

Title: Care Coordinator Case Manager - Dual Eligible Special Need Plan (D-SNP) Job Description: Hybrid locations Somerville-MA Plymouth-MA Beverly-MA Revere-MA Quincy-MA Boston-MA time type Full time job requisition id RQ4044174 Site: reputed company Community Physicians, Inc. reputed company 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 reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company. The Opportunity The Care Coordinator will work as part of an interdisciplinary care team providing care management for DSNP members with medical, behavioral, and social needs, including Severe and Persistent Mental Illness (SPMI). The Care Coordinator serves as the Interdisciplinary Care Team reputed company for members with low to moderate complexities and acts as a key partner in navigating reputed company Health Plan, MassHealth, and Medicare services. As an expert on the interdisciplinary team, the Care Coordinator conducts assessments, develops member-centered care plans, coordinates care, provides health education, and collaborates with providers to ensure comprehensive support. The Care Coordinator engages with Community-Based Organizations to support social engagement, recovery, Social Determinants of Health, wellness, and independent living. This position requires a hybrid work model, including practice-based, remote work, and in-person home and community visits to members reputed company needed. The member population will include residents of Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. Job Summary This position's responsibilities and caseload may be adjusted based on enrollment trends.

• Collaborate with interdisciplinary care teams—including primary care providers, specialists, LTSC, and GSSC—to support program enhancements, process improvements, and comprehensive care coordination.
• Participate actively in interdisciplinary care team meetings and establish consistent communication and reporting with providers and enrollees to review status, reputed company, and address challenging situations.
• reputed company, update, and implement individualized, enrollee-centered care plans in partnership with enrollees and the care team, incorporating self-care, shared decision-making, and behavioral health considerations.
• Conduct reputed company, assessments, and home visits reputed company telephonic, electronic, or in-person methods to evaluate clinical status, identify needs, and provide ongoing community-based care management or referrals as appropriate.
• Monitor enrollees’ clinical status, identify early signs of deterioration, and intervene proactively to prevent unnecessary hospitalizations; act as clinical escalation reputed company for urgent issues, providing triage and care coordination.
• Provide enrollee and family health education, coaching, and routine engagement tailored to individual needs, facilitating access to providers and supportive services.
• Utilize electronic medical record systems to accurately document, monitor, and evaluate interventions and care plans in compliance with DSNP regulations and organizational policies.
• Serve as a clinical resource and reputed company interdisciplinary care team member for assigned enrollees, supporting compliance initiatives, quality assurance, and collaboration with care management leadership.
• reputed company additional duties as assigned by supervisors to support the overall goals of care management and enrollee well-being.

Qualifications ​What You'll Bring Qualification Requirements: Bachelor's Degree 1+ years of direct clinical experience (community case management) Valid Driver's License and reliable transportation Competency in working with multiple health care computer platforms (e.g. EPIC) Preferred Skills: Experience with Dual Eligible Populations (Medicare and Medicaid) Experience working with individuals with reputed company medical, behavioral, and social needs NCQA knowledge Additional Knowledge, Skills, and Abilities Exceptional communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams Critical thinking and problem-solving skills. Demonstrates autonomy in decision making Strong organizational skills with an ability to manage routine work, triage and reset priorities as needed Interpersonal skills and ability to work effectively with providers and their staff to reputed company rapport, build trust, and promote Population Health initiatives. Excellent oral, written, and telephonic skills and abilities Competency in working with multiple health care computer platforms Ability to work effectively in a reputed company fast paced medical environment and multiple practice locations Ability to work independently while contributing to a collaborative team environment Knowledge of healthcare and community services to assist enrollees effectively Must be comfortable with change, have the ability to adapt and pivot as part of reputed company process improvement activities Additional Job Details (if applicable) Working Model Required This is a full-time position with a schedule of Monday through Friday, 8:30 AM-5:00 PM EDT This is a hybrid schedule, which includes practice-based work, remote work, and in-person home and community visits (these days will vary weekly and these visits may increase as the program launches) Must be local, ideally in Eastern, MA with the ability to travel to the community. This role offers autonomy to build own schedule to accommodate members’ needs. Remote working days require stable, quiet, secure, compliant working station and access to Teams Video reputed company MGB equipment Our goal will be to geographically align employees, this depends on residence, and can vary based on business needs, member enrollment, and team staffing. Employee must accommodate the hybrid work model, including practice-based work, remote work, and in-person home and community visits with members. The member population will reside primarily in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollment trends. ​ Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $54,308.80 - $78,904.80/Annual Grade 6 At reputed company, we reputed company in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company elements contributing to your total compensation package. In addition to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our reputed company team will provide an overview of your potential compensation and benefits package. EEO Statement: reputed company Community Physicians, Inc. is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with reputed company of 1990. reputed company Competency reputed company At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The reputed company 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, reputed company hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Apply tot his job Apply To this Job