ACO Care Coordinator: Transitions & Utilization

CareConnectMD, Inc.; Burlington, Northern (MA, KY); Hybrid; USD 75,000 - 90,000; Full time

Job summary

CareConnectMD, Inc. is seeking an on-site Case Manager in Massachusetts to support and coordinate care for patients in our ACO program. The role emphasizes utilization management, reducing hospitalizations, and improving transitions of care.

Strong communication and documentation are essential as you liaise with PCPs, families, facilities, and the care team. Applicants must reside in the Woburn, Wakefield, Burlington, or Lexington area and work onsite.

Qualifications

• At least 2 years of healthcare case management experience.
• Experience in long-term care setting is preferred.
• Knowledge of Medicare guidelines, SNF utilization, discharge planning.

Responsibilities

• Coordinate care across PCP, facilities, and care team.
• Monitor an assigned population of ACO patients with care management.
• Document timely and accurately in compliance with policies.
• Assist with transitions of care and reduce avoidable ER visits and hospitalizations.
• Engage families and facility teams to optimize outcomes.

Skills

Case management

Healthcare coordination

Communication

Documentation

Multitasking

Education

Licensed Nurse (LVN/RN)

Tools

EMR systems

Microsoft Office

CareConnectMD platform

Job description

CareConnectMD, Inc. is seeking an on-site Case Manager in Massachusetts to support and coordinate care for patients in our ACO program. The role emphasizes utilization management, reducing hospitalizations, and improving transitions of care.

Strong communication and documentation are essential as you liaise with PCPs, families, facilities, and the care team. Applicants must reside in the Woburn, Wakefield, Burlington, or Lexington area and work onsite.