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Location: Wakefield, MA
Job ID: 171629-1A
Date Posted: May 26, 2022
Category: Clinical Professional
Welcome To
Welcome to the Beth Israel Lahey Health Performance Network (BILHPN). BILHPN is a clinically integrated network of physicians, clinicians, and hospitals committed to providing high-quality, cost-effective care to the patients and communities they serve, while effectively managing medical expense. Leveraging best practices in population health management and data analytics, BILHPN improves care quality and patient health outcomes across Beth Israel Lahey Health through population health initiatives. BILHPN brings together the expertise of more than 4,500 providers across Eastern Massachusetts who share a common goal to achieve success in a value-based delivery system.
About the Job
BILHPN MSSP Care Management provides Complex Care Management programs to our Medicare At Risk population. We are looking for experienced LICSW’s that demonstrate strong skills recognized in the Care Management Standards of Practice including patient identification and care planning. Additionally desired candidates will have effective knowledge / skills with serious illness conversations, utilization of Palliative Care Programs and cultural determinants of health.
The Care Manager, LICSW provides care management services to the BILHPN primary care physicians focusing on at-risk, high cost, and chronic/complex condition patient populations. The Care Manager, LICSW is a core member of the team, responsible for assessing and supporting the psychosocial status of assigned individuals. Collaborates with the primary care team to develop care plans on their assigned patient population through care coordination, condition management education and community resource support. Responsibilities include working with physicians, patients, families, and the multidisciplinary team all settings to optimize quality and efficient outcomes; and decrease total medical expenses. The Care Manager, LICSW assesses, plans, implements, coordinates, monitors and evaluates options and services to meet the individual patient needs. This role works closely with the primary care provider and patient to develop collaborative care plans to improve self-management of chronic conditions utilizing evidence-based best practice standards to promote and enhance their physical and psychosocial functioning with attention to the social and emotional impact of illness and disability.
The Care Manager’s Responsibilities are:
Qualifications:
Schedule:
Full time, 40 hours per week, Monday-Friday (Day Hours)
About Us
Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve. Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health. Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.