Role OverviewThe Ambulatory Case Manager is responsible for managing the care of PHO members by reducing acute care episodes. This involves facilitating high-quality, safe, and patient-centered care provided by PHO physicians. The Ambulatory Case Manager must assess the member's care needs using established standards of care and/or approved clinical guidelines.
What You Will Do
The main responsibilities of the Ambulatory Case Manager include coordinating care effectively, working closely with the interdisciplinary team, reviewing referrals, and planning and implementing an individualized care plan. The Ambulatory Case Manager must also communicate effectively with members, their families, caregivers, physicians, and other healthcare personnel.
Why It Might Be a Fit
To be successful in this role, you will need to demonstrate a commitment to the mission and goals of the organization, show empathy and compassion in case managing members, and work effectively in a fast-paced environment.
Requirements
- Current license as a Registered Nurse in the Commonwealth of Massachusetts
- Bachelor of Science Degree in Nursing preferred
- Certificate in Case Management preferred
- Minimum of 3 years of experience in a hospital setting, home health care, or outpatient Physician Office setting
- Recent knowledge/experience within past 3 to 4 years in Discharge Planning, Utilization/quality management, Home care, and/or Hospice Nursing
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