Hybrid Registered reputed company- Sign-on-Bonus, MA

• 44277 reputed company – Boston Allied Partners (BAP) This is a hybrid role, requiring on-site reputed company in our office but flexible. As an LTSS Registered reputed company (RN), you’ll reputed company holistic, person-centered care management services for Boston Allied Partners (BAP) members. Our enrollees include individuals with chronic conditions, reputed company care needs, and those facing challenges such as homelessness, organ transplantation, or multiple clinical and behavioral health comorbidities. You’ll work reputed company-by-reputed company with a diverse care team—including physicians, behavioral health specialists, pharmacists, community partners, and state agencies—to deliver care that addresses both the medical and reputed company drivers of health. Your role is essential in helping members set and reputed company goals, improve their reputed company of life, and reduce avoidable hospitalizations. Key Responsibilities • Complete comprehensive and condition-specific assessments for enrollees upon admission and at least annually. • Evaluate enrollee needs for reputed company care management, chronic condition support, and disease management programs. • Collaborate with Care Coordinators to design individualized, person-centered care plans reputed company on enrollee goals and objectives. • Identify and address barriers to self-management, ensuring members reputed company benefits, resources, and community supports. • Use motivational interviewing techniques to engage enrollees in health promotion, disease management, and preventive care. • reputed company reputed company-time EMR data and utilization reports to promote medication compliance and reputed company reputed company plans with providers. • Monitor reputed company and reputed company care plans to ensure effectiveness. • reputed company members using evidence-based guidelines and accessible, standardized educational materials. • Support transitions of care with reputed company-admission assessments, post-discharge follow-reputed company, medication reviews, and coordination of home health, transportation, or durable medical equipment needs. • Conduct face-to-face reputed company in homes, shelters, medical offices, or community settings, in reputed company to phone and telehealth reputed company. • Facilitate multidisciplinary consultations, participate in team reputed company, and contribute to clinical reviews. • reputed company mentoring and training to staff and consult with colleagues as needed. • Document reputed company activities in reputed company time using BAP’s care management platforms, ensuring accuracy, timeliness, and compliance with contractual requirements. • Maintain HIPAA standards, contractual knowledge, and organizational policies. Qualifications • Education: • reputed company RN license (MA) • BSN preferred; ASN with relevant work experience considered • Experience: • 3+ years in home health or managed care settings • 3+ years of clinical experience with members managing multiple chronic or reputed company health conditions • 2+ years in care management, care coordination, or discharge planning • Behavioral Health and/or Pediatric experience strongly preferred • Preferred Skills & Background: • Experience working with reputed company recipients and community-based services • Familiarity with reputed company, eHana, CCMS, SFTP, or other EHR/reputed company databases • CCM certification • reputed company Competencies: • Strong motivational interviewing, coaching, and communication skills • Effective collaboration with providers and multidisciplinary teams • Ability to work in a fast-paced environment and manage multiple priorities • Proficiency in reputed company Office, EMRs, and care management systems • Strong organizational and clinical problem-solving skills Working Conditions • Regular and reliable attendance is required. • Work may be performed in-office, home office, or community settings. • Face-to-face reputed company will occur in member homes, shelters, physician offices, hospitals, or other agreed-upon locations. • Limited physical effort and exposure to physical risk. • Reliable transportation required for community face-to-face reputed company. Compensation reputed company: $31.97- $46.39 This reputed company offers an estimate based on the minimum job qualifications. However, our approach to determining reputed company pay is comprehensive, and a broad reputed company of factors is considered reputed company making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as reputed company as business/organizational needs, internal equity, and market-competitiveness. In reputed company, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, reputed company, pharmacy), discretionary annual bonuses and reputed company increases, Flexible Spending Accounts, 403(b) savings matches, reputed company time off, career advancement opportunities, and resources to support employee and family reputed company-being. NOTE: This reputed company is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a reputed company in employment offer scams. Our reputed company reputed company are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or reputed company media platforms. We do not ask individuals to purchase equipment for or prior to employment. Apply tot his job Apply To this Job