Medical, Dental, and Clinical Health Services
Currently Seeking: Population Health Team Nurse

Clinical Health Services:

Job Summary: Mattapan Community Health Center (MCHC) is committed to improving the health and well-being of diverse populations in Mattapan and surrounding communities by providing exceptional primary care and preventive health and social services. MCHC’s quality improvement and quality assurance (QI/QA) program include various initiatives focused on proactively managing health center patients with chronic conditions (e.g., diabetes, hypertension, depression) and preventive care needs. As an accountable care organization, MCHC provides quality care through a team-based, patient-centered medical home (PCMH) model of care.

The Population Health Team Nurse is an integral role of the Population Health Team at Mattapan Community Health Center (MCHC). Under the direction of the Quality Director and QA Nurse Manager, the Population Health Team Nurse will play a vital role in care coordination and addressing the biopsychosocial needs of complex care patients and patients with significant clinical co-morbidities. The Population Health Team Nurse is responsible for outreach, care coordination, education, direct patient care, and remote patient monitoring in the form of skilled nursing on-site and telemedicine visits to select patients in high-risk populations. Some of these high-risk populations include, but are not limited to, patients who are most at risk for poor outcomes related to high ED utilization, are on high-risk medications, lack of follow up for recommended screenings and surveillance (for example: out of care patients with Diabetes, on anticoagulation medication, have uncontrolled hypertension, have abnormal Mammogram or Pap smear). The Population Health RN will work in collaboration with the providers and the immediate care team (Team RN’s and Medical Assistants) to address the needs of the patient and assure the continuity of care of the patient.

Responsibilities: Direct Patient Services and Clinical Administrative Duties

• As part of the Population Health Team, the Population Health Team Nurse is involved in the designing of care management programs that address quality metrics of high-value health care, in collaboration with on-site primary care providers, including Behavioral Health, the MCHC QI Committee, and with the Boston Accountable Care Organization (BACO) system partners.
• Initiates and executes proactive population-specific outreach efforts for targeted screenings or condition follow-up.
• Identifies patients and conducts RN visits for patients who are eligible candidates for RN visits (E.g., patients with Diabetes or uncontrolled hypertension).
• Monitors and coordinates care for patients enrolled in the remote patient monitoring program.
• Provides timely and ongoing communication with the PCP and practice team to identify the highest risk patients and to maximize the management of patient needs and related risk reduction.
• Monitors quality measures related to target populations and work with the team on improvement strategies.
• Assists patients in problem-solving issues related to the health care system, financial and psychosocial barriers
• Performs ongoing evaluation and documentation of patient progress/risk status and appropriate scheduling of interventions
• Coordination of care with other care managers (home health care, payer case managers, etc.) and specialists to maximize care and promote patient safety.
• Utilization and further development of population-specific patient registries, EMR-based reports, and dashboards, and external data reporting tools as appropriate.
• Remains up-to-date with required training and competencies as required to perform roles and responsibilities.
• Attend appropriate clinic department meetings as Epic expert and as OCHIN liaison.
• Performs other related duties as assigned or required.

SUMMARY OF QUALIFICATIONS AND REQUIREMENTS:

A degree from an accredited nursing program, current MA nursing license, and current CPR required. A minimum of 2 years of clinical experience is required in one or more of the following areas: community health, public health, chronic disease management, or community nursing. A degree from an accredited nursing program, a current MA nursing license, and CPR certification issued by the American Heart Association; BLS for Health Care Providers required; Ability to work independently and as a member of the MCHC clinical teams is a must. Sensitivity to ethnic, cultural, gender, and sexual orientation diversity and competency to develop strong patient-centered relationships with patients of all backgrounds. Must have excellent organizational skills, basic computer skills such as Word, Excel, Microsoft Outlook, and knowledge and experience working with electronic medical records and data reporting tools. Bilingual in Haitian-Creole or Spanish and experience working in an urban community with persons of diverse cultures and is a plus. Must have the ability to establish rapport, develop trust and build collaborative working alliances with patients, families, clinical teams, and other partners. Possess well-developed communication and interpersonal skills, the ability to plan, organize, and the ability to complete associated paperwork promptly and maintain confidentiality. Previous EMR experience helpful, preferably with Epic

Must cooperate fully with MCHC’s Corporate Compliance Program and performs all tasks as assigned by the Director of Population Health.

Please, direct cover letter, resume, and inquiries to nyensuahr@matchc.org or fax -- (617) 296-5408 or mail to -- Mattapan Community Health Center, 1575 Blue Hill Avenue, Boston, MA 02126, Attention: Human Resource Assistant.

| 03.08.2021 | E-mail | Print |

Medical, Dental, and Clinical Health Services 
Currently Seeking: Primary Care/Family Medicine Physicians

Primary Care/Family Medicine Physicians: Urban community health center seeks BE/BC physicians to provide health care for an underserved population in a growing diverse community.

The Health Center provides comprehensive health care to diverse populations in an underserved community in a five-year-old, environmentally friendly, state of the art building. Our mission is to improve the health and well-being of diverse populations in Mattapan and surrounding communities by providing exceptional primary care, preventive health services, and social services.

Summary of Qualifications and Requirements:

• Bilingual skills in French/Creole or Spanish are a plus but not necessary.

The Health Center Offers positions that are salaried with competitive benefits, including a primary care physician loan repayment program for eligible physicians, paid malpractice coverage, and group insurance.

Please, direct cover letter, CV, and inquiries to brownd@matchc.org or fax -- (617) 296-5408 or mail -- Mattapan Community Health Center, 1575 Blue Hill Avenue, Boston, MA 02126. Thank you.

| 08.11.2018 | E-mail | Print |

Professional, Administrative, and Clerical Services
Currently Seeking: Population Health Coordinator and Interpreter

Information Technology:

Job Summary: Under the supervision of the Director of IT, the Community Health Worker is responsible for patient outreach activities designed to close health care gaps and achieve the quality performance goals as outlined in MCHC’s annual QI/QA Plan. Such activities include proactively scheduling appointments, performing pre-visit reminders, and providing assistance in the distribution, connectivity, education, and troubleshooting related to Remote Patient Monitoring (RPM) Bluetooth-enabled medical devices like blood pressure cuffs, scales, pulse oximeters, and thermometers.

COMMUNITY HEALTH WORKER RESPONSIBILITIES - 80%: Outreach Efforts

• Conduct and coordinate timely, proactive patient outreach via telephonic, written, and/or electronic means as directed by manager.
• Provide technology training and support for patients engaged in virtual care, including but not limited to remote patient monitoring home devices and MyChart virtual video visits.
• Provide telephonic help desk support to patients who report problems with remote patient monitoring devices.
• Schedule appointments and perform outreach to patients who cancel or do not arrive to their scheduled appointments.
• Provide education and support to patients using a variety of culturally and linguistically appropriate strategies; coordinate with Interpreter Services as needed to accomplish these goals.
• Communicate effectively with patients and clinic providers as needed to deliver high-quality care.

POPULATION HEALTH RESPONSIBILITIES cont'd - 20%: Other Duties

• Educate and distribute culturally sensitive educational materials to clients and families.
• Employ effective verbal, written, and interpersonal communication skills to facilitate interactions with various members of the health care team, patients, and their families.
• Always employ professional communication.
• Establish working relationships with patients, their families, other health care professionals, and the greater Mattapan community.
• Demonstrate sensitivity during interactions with patients and colleagues with respect to ethnic, cultural, gender and sexual orientation. Exhibit a commitment to diversity and inclusion within the workplace.
• Adhere to medico-legal protocols regarding management of confidential or sensitive information.
• Adhere to relevant policies, procedures, and work standards as outlined in the MCHC Employee Handbook.
• Perform other duties as required or assigned by the Director of Information Technology.

SUMMARY OF QUALIFICATIONS AND REQUIREMENTS:

• H.S. Diploma/GED required with a minimum of 1+ years of experience in a similar Help Desk/Technology role.
• Demonstrated ability to effectively train and coach end-users.
• Effective communication skills necessary to provide telephonic support to end-users.
• Strong ability to connect and partner with culturally diverse individuals and families.
• Ability and willingness to work on a flexible schedule to meet the needs of the community and families.
• Haitian-Creole or Spanish language fluency strongly preferred.

Must cooperate fully with MCHC’s Corporate Compliance Program and performs all tasks as assigned by the Director of Population Health.

Please, direct cover letter, resume, and inquiries to nyensuahr@matchc.org or fax -- (617) 296-5408 or mail to -- Mattapan Community Health Center, 1575 Blue Hill Avenue, Boston, MA 02126, Attention: Human Resource Assistant.

| 03.24.2021 | E-mail | Print |

Medical, Dental, and Clinical Health Services
Currently Seeking: Medical Assistant

Medical Assistant: Under the direction of the Nursing Supervisor, the Medical Assistant performs a variety of direct patient care services, including but not limited to, taking vital signs, assisting in patient preparation for procedures, and other ways to assist providers. Medical Assistants work closely with other internal and external departments to assure coordinated services. Clerical duties associated with this position include completing forms and lab requisitions, answering the telephone, and sending DNKA cards. If the Medical Assistant possesses special language skills, he/she will provide translation support as needed.

Qualifications: Must possess a certification of completion from an accredited Medical Assistant Program and a current certification in Cardio-Pulmonary Resuscitation (CPR). The ideal candidate must have one year of recent clinical experience, in a hospital or community health care setting, must be flexible; organized; culturally/ethnically sensitive. Bilingual ability preferred but not necessary.

Please direct cover letter, resume, and inquiries to nyensuahr@matchc.org or fax -- (617) 296-5408 or mail to -- Mattapan Community Health Center, 1575 Blue Hill Avenue, Boston, MA 02126, Attention: Human Resource.

| 04.08.2018 | E-mail | Print |