Clinical Care Manager-Licensed Clinician

Bay Cove Human Services, Inc., a leading Massachusetts human services organization, seeks a Clinical Care Manger- Licensed Clinician (CMM) who will be an integral member of Care Teams that will deliver care coordination services to MassHealth members.

The CMM-Licensed Clinician collaborates with their respective Community Partner team and the clinical staff of each Enrollee’s ACO/MCO’s plan to minimize duplicative efforts, promote integrated care, ensure quality and continuity of care, and support the values of person centered planning, Community First and SAMHSA Recovery Principles.

We are looking for someone who strives to:

Challenge thinking.
Be different.
Lead change.

Bay Cove is looking for people who are inspired and inspiring.

What you will do:

• Outreach to and engage enrollees enrolled in ACO and referred for CP program.
• Conduct comprehensive assessment of enrollees including the medical, psychiatric and social issues of enrollees served.
• Organize and facilitate the effective functioning of the Interdisciplinary Care Team (ICT), including coordinating meetings, facilitating communication and documentation.
• Monitor the enrollee’s health status and needs and provide nursing and medical care coordination, including revising health related treatment goals and plans in collaboration with the enrollee and the team.
• Coordinate the development, implementation, monitoring and review of the enrollee care plans, including health care strategies.
• Collaborate closely with PCP and other health care providers regarding changes in services, care transitions, crisis intervention; while focusing on continuity and quality of enrollee care and potential efficiencies and cost-savings.