Managed Care Marketing Manager jobs in Hyannis, MA

Work for One of the World's Best Hospitals!

For Five Consecutive Years, Newsweek named Southcoast Health among the World's Best Hospitals (Charlton Memorial, St. Luke's, and Tobey). In addition, since 2018, Southcoast Health has been voted by readers as South Coast Media Group's Best Place to Work. Why? Because we have some of the most talented people in the world!

We are searching for a RN-Care Manager to manage and coordinate care for SHN patients across the continuum. Collaborate with physicians, care teams, Inpatient and Post-Acute providers to achieve goals and enhance patients experience. Monitor and provide appropriate utilization management to achieve desired quality outcomes. Develop care plans to establish patient centered goals, monitor outcomes and drive engagement in comprehensive care management programs designated for high risk and at-risk members. Provide functional or technical supervision over other employees in same or closely related classifications, where scope of supervisory responsibility is limited to direction, guidance, explanation, etc. This position also requires meeting patients either in their home, provider's office, or in the community.

• Hours: 40hrs
• Shift: Day/Evening shift; 8:00am-4:30pm
• Location: St. Luke's Hospital - New Bedford, MA
• Travel: Driving on average 3 or more times per week required

Education and/or Experience Requirements:

• A Bachelors Degree in Nursing or other health care field or the equivalent knowledge and experience is required.
• As part of a multidisciplinary team, candidates must possess a strong teamwork ethic.
• Candidates must also possess a current, unrestricted MA and RI nursing license.
• Knowledge of accountable care is strongly preferred.
• Advanced clinical experience, TMP or Medicare Advantage knowledge is preferred.
• Certification in Case Management and case management experience is preferred.
• Required skills include demonstrated ability to work with physicians to create care plans, advanced understanding of geriatric population, customer service and strong interpersonal skills are required.
• Excellent organization, creative problem solving and communications skills are also required.
• The ability to foster team work and computer competency within a Windows environment are required.
• Proficient skills in Microsoft Office, i.e. Word, Excel, Access, PowerPoint are required.
• Five (5) years related experience in an acute and/or other health care setting required.
• Excellent interpersonal skills and strong negotiation skills are required.
• In accepting employment with Southcoast, you understand that you are required to be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

Southcoast Health is a community healthcare system with multiple access points, offering an integrated continuum of health services throughout Southeastern Massachusetts and Rhode Island. By uniting a single purpose and building an integrated system of services and resources, we have become one of the largest and fastest-growing health systems in Massachusetts.

Together We Are More.

• With more than 7,500 employees, Southcoast Health is the largest employer in Southeastern Mass., and the 18th largest employer in the Commonwealth, according to the Boston Business Journal.
• We strive for a culture of health and well-being that recognizes, respects, and celebrates the rich diversity of one another and the communities we serve.

We are committed to providing our employees in Massachusetts and Rhode Island with optimal benefits that promote a healthy work/life balance and add value to our employees' lives.

• Generous Earned Time Off Package**
• Health, Dental and Vision Insurance*
• Tuition Assistance**
• Short Term and Long-Term Disability Insurance*
• Life & AD&D insurance*
• Flexible Spending Accounts*
• 403B Retirement Plan with match
• HealthQuest Wellness Program
• Employee Assistance Program
• Employee Discount Program
• Career Development Opportunities
• Diversity, Equity and Inclusion Council

*Available to regular status employees who are scheduled to work a minimum of 24 hours.

**Available to regular status employees who are scheduled to work a minimum of 20 hours.

Are you ready to make a difference in your community? Join us to be More than Medicine!

Southcoast Health is an Equal Opportunity Employer