ACO Nurse Care Liaison — Onsite Rounds & Care Coordination

CareConnectMD, Inc.; Massachusetts; On-site; USD 50,000 - 66,000; Full time

Job summary

CareConnectMD, Inc. is seeking an ACO Nurse Care Liaison to coordinate patient-centered care in long-term care facilities around Quincy, MA. The role requires daily rounds, engagement with patients, families, and PCPs, and accurate documentation to support the CCMD ACO program.

The position emphasizes communication, clinical judgment, and collaborative care planning with physicians, nurses, and facility staff to improve outcomes and honor patient preferences.

Qualifications

• Active unrestricted RN license; LVN considered in residing state.
• Current/state driver's license and auto insurance.
• Licensed driver with insured vehicle in good condition.
• Experience using EMR and Microsoft Office.

Responsibilities

• Daily rounds at assigned long-term care facilities.
• Engage patients and families to understand care preferences and conditions.
• Monitor health, risks, and changes in condition; coordinate follow-up.
• Collaborate with PCPs, ACO Medical Director, and facility staff to coordinate care.
• Develop and monitor care plans for high-risk patients; participate in reviews.
• Support goals-of-care discussions with patients and families.
• Maintain accurate, timely clinical documentation per policy.
• Onsite work required in Quincy, MA area.

Skills

Patient Communication

Clinical Judgment

Care Coordination

Independence

Organization

Professionalism

Education

RN license

Driver's license

Tools

EMR

Microsoft Office

Job description

CareConnectMD, Inc. is seeking an ACO Nurse Care Liaison to coordinate patient-centered care in long-term care facilities around Quincy, MA. The role requires daily rounds, engagement with patients, families, and PCPs, and accurate documentation to support the CCMD ACO program.

The position emphasizes communication, clinical judgment, and collaborative care planning with physicians, nurses, and facility staff to improve outcomes and honor patient preferences.