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ACO Nurse Liaison

Company: Fallon Health
Location: Worcester
Posted on: January 16, 2020

Job Description:

Responsibilities include working closely with the ACO Partner staff to educate providers on the Model of Care, and be a resource for member care coordination. The ACO RN Liaison works collaboratively with all community partners representing Fallon Health in a collaborative positive way. This position requires ability to drive to our ACO Partner groups - Wellforce Care in North Boston/Lowell area several times a week. Rest of work week is remote work.

RESPONSIBILITIES

Performance Requirements including but not limited to:

* Excellent communication and interaction with members and providers via telephone and in-person

* Excellent organizational skills and ability to multi-task

* Appreciation and adherence to policy and process requirements

* Independent learning skills and success with various learning methodologies including but not limited to: self-study, mentoring, classroom, and group education

* Exceptional customer service skills and willingness to assist ensuring timely resolution

* Knowledgeable about community resources available to assist the member population in the community and long term care settings and demonstrated willingness to seek resources and expand knowledge to assist the population

* Knowledgeable about insurance regulatory and accreditation requirements

* Effective case management and care coordination skills

* Physician and other health care provider interaction and other communication including but not limited to face to face communication

* Ability to lead case management rounds with Clinical Integration staff, providers and others involved in member s care

* Ability to mentor and train others

* Proficient in software systems including but not limited to Microsoft Office Products Excel, Outlook, and Word

* Proficient in manipulating Excel spreadsheets to manage work and exposure and familiarity with pivot tables

Competencies:

* Demonstrates commitment to the Fallon Health Mission, Values, and Vision

* Specific competencies essential to this position:

* Problem Solving

* Asks good questions

* Critical thinking skills, looks beyond the obvious

* Adaptability

* Handles day to day work challenges confidently

* Willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change

* Demonstrates flexibility

* Written Communication

* Is able to write clearly and succinctly in a variety of communication settings and styles

QUALIFICATIONS

Graduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred.

License: Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver s license and a vehicle to be used for home visits

Certification: Certification in Case Management strongly desired

Other: Satisfactory Criminal Offender Record Information (CORI) results



Experience:

* 4+ years of clinical experience as a Registered Nurse managing chronically ill members or experience in a coordinated care program required

* Experience working face to face with members and providers required

* Experience with telephonic interviewing skills and working with a diverse population, that may also be Non-English speaking, required

* Home Health Care experience preferred

* Familiar with NCQA case management preferred





Fallon Health is an equal opportunity employer. It is very important for us to maintain a consistant hiring process for every candidate. In addition, we are also a government contractor with requirements to report on our Affirmative Action planning. To that end, we require everyone to apply online.

If you do not have access to a computer or need assistance completing the application process, please contact Human Resources at 1-508-368-9893 (TRS 711).

Keywords: Fallon Health, Worcester , ACO Nurse Liaison, Healthcare , Worcester, Massachusetts

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