NSPG Care Manager, Chronic Disease (Lynn)

North Shore Physicians Group – Lynn, MA

About Us

North Shore Physicians Group (NSPG), the largest multispecialty group north of Boston, has a singular focus: the patient. We are more than 320 physicians, nurses and health professionals working as one to provide exceptional care. And we are a national leader in improving care delivery, patient health and satisfaction.

Through our partnership with North Shore Medical Center and our affiliation with Massachusetts General Hospital and Partners HealthCare, we offer such advances as EMRs, shared medical appointments, online access and remote patient monitoring. Our success is built on team-based practices, collaborative environments and the importance of work-life balance. Bring your exceptional skills to our innovative practices and join us in driving medicine forward.
General Summary
We are seeking a Nurse Care Manager to support 10 of our Primary
Care Physicians.
The Care Manager serves as an integral member of the primary care team in the Patient Centered Medical Home model. As part of the physician-led Medical Home team, the Care Manager works closely and collegially with physicians, associate providers, clinical and administrative staff and collaborates to enhance the delivery of patient care services along the continuum of care.

The Care Manager will:

  • Follow a panel of primary care patients with chronic disease management needs who will be identified using new risk-stratification technology
  • Provide both episodic and ongoing education and coaching for chronic disease management using evidence based guidelines
  • Work closely and collaborative with other disciplines to enhance care coordination, including:
  • Behavioral Health
  • Social Work
  • Community Resource Specialists
  • Assist with patient care transitions, including:
  • Visits to specialists
  • Visits to the Emergency Department or Urgent Care
  • Admissions to inpatient and extended care facilities
  • Transitions to different models of care, such as long-term care or hospice.
  • The Care Manager will also serve as a resource to clinical services through mentoring and assisting with quality initiatives. Through broad knowledge of clinical care and systems management, the Care Manager will meet the patients needs efficiently and expeditiously by continuously working to improve the patient experience, ensure high quality patient care, and reduce cost.

    Experience

  • Required: Minimum of 3 years nursing experience.
  • Preferred: Primary care, home health, extended care, case management or care coordination experience.

  • Education

  • Required: Completion of an accredited Nursing degree program
  • Preferred: Bachelor of Science in Nursing (BSN) strongly preferred.

  • Licensure, Certifications, or Registration

  • Required: RN
  • Preferred: BSN strongly preferred

  • Why North Shore Physicians Group? You ll practice at the leading edge of patient-focused medicine in one of New England s most scenic and historic locations. And you ll make a difference every single day. Make your move to NSPG. We re one team, with one focus. Join us. With NSPG you ll experience: Excellent quality of life The North Shore area offers: Communities with varied and rich histories and convenient access to museums, art, restaurants and shops. Natural beauty, handsome architecture and vivid history only 15 miles north of Boston. 30 miles of gorgeous rocky coastline with breathtaking beaches and harbors. World-class sailing and close proximity to the mountains and picturesque New England. Easy access to a multitude of universities, colleges, and public and private schools. Clinical excellence Our practices are certified Level 3 NCQA Patient-Centered Medical Homes. For the fifth year in a row, North Shore Medical Center has been ranked a top regional hospital in Boston and Massachusetts by U.S. News & World Report. Our affiliate, Massachusetts General Hospital, is one of U.S. News & World Report s top three Honor Roll hospitals in America. NSPG and NSMC use the Epic EMR that integrates patient care through the Partners HealthCare System, including Massachusetts General Hospital and Brigham and Women s Hospital. Career advancement Grow, learn and develop new practice innovations. Continue your medical education. Make academic connections and explore teaching opportunities. Explore leadership opportunities. Develop clinical and administrative career ladders. A supportive practice environment Collaborative professionals. Patient-centered care model. Leadership that listens and values your contributions and ideas. Autonomy and respect for your skills and expertise. Excellent salary and benefits. Boston medical center, Boston area, Best regional hospital, Best hospital, North Shore s largest provider, North Shore Medical Center, Massachusetts General Hospital, Brigham and Women s Hospital, Salem Hospital, Union Hospital, Designated stroke center, High-performing, Partners HealthCare, Community health, Community hospital system, Clinician, Massachusetts hospital, Electronic medical records, Epic EMRs, In-patient, Teaching, Academic medicine, Clinical ladder, Level III Trauma Center, Nationally recognized, Outpatient, Patient-focused care, Patient-Centered Medical Home, Provider, Wellness, U.S. New & World Report ranking, Expert, Serve, Care, Healthcare, Multispecialty, Boston, North Shore, Marblehead, Salem, Peabody, Danvers, Lynnfield, Lynn, Melrose, Wakefield, Manchester, Nahant, Topsfield, Wenham, Middleton, Malden, Revere, Beverly, Rowley, Saugus, Swampscott

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