Hybrid RN Care Manager – Primary Care Team

North Shore Community Health Inc; Peabody (MA); Hybrid; USD 90,000 - 120,000; Full time

Job summary

North Shore Community Health is seeking a Registered Nurse Care Manager to coordinate care for high-need patients on an assigned primary care team. The role requires collaboration with primary care, specialty teams, and community providers to optimize utilization and outcomes.

Responsibilities include managing referrals, engaging patients, assessing needs, developing care plans, and documenting care in medical records per regulatory standards.

Qualifications

• Ability to function as a leader and team member.
• Strong communication and interpersonal skills.
• Ability to work in a culturally diverse environment.
• Excellent problem-solving skills.
• Maintains high level of customer service with patients and coworkers.
• Prioritizes competing demands and adapts quickly.

Responsibilities

• Manage referrals and reports for patients identified for care management.
• Outreach to, engage with, and manage a panel of patients per care management workflows.
• Assess and evaluate patient care needs.
• Analyze data and make informed judgments related to patient care.
• Create patient-centered care plans with patients based on goals and resources.
• Coordinate care with NSCH teams and community providers and track outcomes.

Skills

Leadership

Team collaboration

Patient care planning

Communication skills

Critical thinking

Job description

North Shore Community Health is seeking a Registered Nurse Care Manager to coordinate care for high-need patients on an assigned primary care team. The role requires collaboration with primary care, specialty teams, and community providers to optimize utilization and outcomes.

Responsibilities include managing referrals, engaging patients, assessing needs, developing care plans, and documenting care in medical records per regulatory standards.