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BMC Company 100
Boston, MA, United States
The LTSS Clinical Care Manager (CCM) works collaboratively with the LTSS care team to provide person-center delivery LTSS CP supports to Enrollees. The CCM arranges, coordinates, monitors, evaluates, and advocates for services to meet the psychosocial needs of the Enrollee. The CCM works with the Enrollee to increase their capacity for self-managem
Job Source: BMC Company 100Vinfen
Boston, MA, United States
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Job Source: VinfenBlue Cross Blue Shield of Massachusetts
Hingham, MA, United States
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Care Manager-LPN is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. Under the direction of an RN , the LPN CM works collaboratively with the ent
Job Source: Blue Cross Blue Shield of MassachusettsBlue Cross and Blue Shield of Massachusetts Inc.
Hingham, MA, United States
LPN Clinical Care Manager page is loaded LPN Clinical Care Manager Apply locations Hingham time type Full time posted on Posted 4 Days Ago job requisition id R07098 Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Care Manager-LPN is responsible for facilitating car
Job Source: Blue Cross and Blue Shield of Massachusetts Inc.Blue Cross Blue Shield of Massachusetts
Hingham, MA, United States
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Care Manger is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works independently and collaboratively to fac
Job Source: Blue Cross Blue Shield of Massachusettsaccordance search group
Boston
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Job Source: accordance search groupBAYADA Home Health Care
Newton, MA, United States
If you’re ready to make a change, we’re ready to invest in you! BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of Nurse Manager (RN) in our Newton Assistive Care office! We are looking for a Nurse Manager that is passionate about keeping care in the home and developing skills for upward career mobility. Are you re
Job Source: BAYADA Home Health CareTScan Therapeutics
Waltham, MA, United States
Position Summary: TScan Therapeutics is a clinical-stage biotech seeking to revolutionize life-changing therapeutics for patients by identifying novel T cells and epitopes. We are looking for a Clinical Trial Associate to join our Clinical Operations team to support the execution of clinical studies across our hematological and solid tumor program
Job Source: TScan TherapeuticsBoston, MA, United States
Position: LTSS - Clinical Care Manager
Department: BAP Program
Schedule: Full Time
POSITION SUMMARY:
The LTSS Clinical Care Manager (CCM) works collaboratively with the LTSS care team to provide person-center delivery LTSS CP supports to Enrollees. The CCM arranges, coordinates, monitors, evaluates, and advocates for services to meet the psychosocial needs of the Enrollee. The CCM works with the Enrollee to increase their capacity for self-management and to promote behavioral changes that facilitates short- and long-term linkages with necessary community, social service, medical or behavioral health resources. The population includes both adult and pediatric Enrollees many of whom, may require LTSS, are developmentally delayed, or are identified as having special needs.
ESSENTIAL RESPONSIBILITIES / DUTIES:
Key Functions/Responsibilities :
Provides clinical oversight and supervision for assigned LTSS Care Coordinators, in collaboration with site Project Managers, as applicable
Utilizes motivational interviewing techniques, systems theory, change theory, acceptance, and commitment approaches, patient activation, and psycho-education to engage Enrollees in care management
Supports and enhances the Enrollee's capacity to self-manage by detecting underlying mental/behavioral health issues impacting general health
Establishes and maintains effective working relationships and provides outreach and education to key service agencies, providers and other Enrollees of the interdisciplinary team
Maintains flexibility and adjusts approach to the needs of the Enrollee and the team.
Meets with Enrollees, family, and other supports, during office visits, at Enrollee's home, or, in the community
Assists the Enrollee, when necessary, in placing calls, completing applications, and advocating for available supports/services
Maintains general knowledge of the most common conditions presented in the Medicaid population and is able to assess, manage and triage at-risk, high-needs Enrollees.
Researches and shares community resources with Enrollees and peers.
Contributes to the development of a comprehensive care plan (CP) for the Enrollee
Collaborates with LTSS Care Coordinator to provide in-home/face-to-face visits to enhance Enrollee engagement and communication
Reviews, provides feedback on, suggests amendments to, and gives final approval of Enrollee Health-Related Social Needs (HRSN) screens and Care Plans completed by the LTSS Care Coordinator
Develops and maintains community relationships providing outreach to community and state agencies and school systems
Facilitates interdisciplinary consultation on Enrollees' behalf through participation in rounds, team meetings, and clinical reviews.
Conducts face-to-face visits with selected Enrollees as appropriate.
Completes documentation in the medical management information system in a timely manner and in keeping with, internal policy and HIPAA standards.
Other duties as assigned.
Reports to: Senior Operations Manager
Supervision Exercised:
LTSS Care Coordinators
Supervision Received:
Weekly and ongoing
JOB REQUIREMENTS
EDUCATION:
Master's Degree in Social Work, Psychology, Education, Public Health, or a related field required.
EXPERIENCE:
2 years of experience working with individuals with complex medical/behavioral and/or psychosocial needs. Behavioral Health and/or Pediatric experience strongly preferred
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED :
Active state licensure as a Social Worker or related field required within 6 months of employment.
Pre-employment background check
KNOWLEDGE AND SKILLS:
Strong oral and written communication skills
Ability to establish and maintain effective working relationships with Enrollees, social service agencies, community resources, and other members of the interdisciplinary team.
Ability to work with Enrollees to promote positive behavioral change
Strong Motivational Interviewing skills
Bilingual desired
Strong organizational and time management skills
Ability to work in a fast-paced environment and multi-task
Proficient Microsoft Office skills particularly MS Outlook and MS Word and other data entry processing applications
Knowledge of medical terminology
Working Conditions and Physical Effort :
Regular and reliable attendance is an essential function of the position.
Work is generally performed in the field with some home/corporate office work. Position is eligible for telework.
No or very limited physical effort required.
No or very limited exposure to physical risk.
Equal Opportunity Employer/Disabled/Veterans
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Clinical Care Manager jobs in Boston, MA, United States
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