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Regional, Complex Care Coordinator
North Region, NH/ME Seacoast
Dover, Barrington, Rochester, NH and South Berwick, ME.



The Integrated Care Management Program (iCMP) supports and coordinates health care for primary care patients with complex health issues.

Population Health Services Organization vision is to enable health care providers and patients in our Accountable Care Organization to achieve the best outcomes in the nation.

Apply to our North Region! Multi-Practice North Region, NH/ME Seacoast region is hiring Complex Care Coordinators to support MGB practices and patients.

This role requires weekly onsite work at MGB practices with patients and their care team

Regions are comprised of practices within. Each Coordinator is assigned practices within based on proximity and business needs.

Job Summary

The Opportunity

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.

What You'll Do

• 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
  

What You'll Bring

• Bachelor's Degree in a health-related field, public health, or human services field required.
• 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.

Skills & Abilities for Success

• Experience documenting in Electronic Health Records, scheduling platforms, and data tracking tools.
• 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.
• 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.

What You’ll Get

• 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

Onsite Flexible Hybrid Working Model

North Region, New Hampshire and Maine Seacoast

Coordinators will be assigned multiple sites within one region, based on business needs, geographic preference and current home address

• M-F Eastern Business Hours
• Onsite weekly travel includes Somerville / Community practices within region you are assigned
• North Region includes Mass and/or ME/ New Hampshire sites
• 4- 5 days onsite weekly at various locations, community practices, must be flexible within assigned region and patient needs, typically 1 day remote work per week
• Monthly meetings onsite in Somerville, scheduled with notice
• Remote work requires stable, secure, quiet, HIPPA compliant working station

Coordinator positions open in North Region will include: Dover, Barrington, Rochester, NH and South Berwick, ME.

North Region includes:

WDPC, Wentworth Health Partners Barrington Health Center

WDPC, Wentworth Health Partners Bellamy Health Center

WDPC, Wentworth Health Partners Dover Family Practice

Wentworth Health Partners Internal Medicine

WDPC, Wentworth Health Partners Durham Health Center

WDPC, Wentworth Health Partners Hilltop Family Practice

Wentworth Health Partners Primary Care - Pease

Mass General Brigham Integrated Care - Salem

WDPC, Wentworth Health Partners Lee Family Practice

Wentworth Health Partners Adult & Children's Medicine

WHP Rochester Family Practice

Hybrid

789 Central Avenue

Pay Range

$25.00 - $35.77/Hourly

Grade

5

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base 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 Talent Acquisition team will provide an overview of your potential compensation and benefits package.

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform 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 Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

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