RN Case Manager
Company: Impresiv Health
Location: Boston
Posted on: May 16, 2022
Job Description:
Role Description :
Under the administrative direction of the Clinical Manager, the
Nurse Case Manager (NCM) for Senior Care Options (SCO) is
responsible to manage all aspects of member care for a panel of
frail elderly, while working within a healthcare team. The NCM
directly interfaces with physicians, other members of the primary
care team, members, and their caregivers in identifying risk
factors, conducting assessments, and developing and implementing
care plans to comprehensively manage their members' care. Member
assessments will be conducted in person within the member's
home.
Accountabilities :
The NCM will have a clear understanding of the role and will
demonstrate a commitment to executing on the following
responsibilities:
- Timely completion of initial and ongoing geriatric
assessments
- Development and communication (with member, caregiver and
primary care physician/primary care team) of an individualized plan
of care
- Completion of the Minimum Data Set-Home Care (MDS-HC)
- Facilitation of member and caregiver access to community
resources relevant to the member's needs, including referrals to
Adult Day Health, Adult Foster Care and the Personal Care Attendant
Program.
- Participation in routine primary care team meetings
- Pro-active management and follow-up (via home visits and by
telephone) according to the member's care plan
- Management and coordination of all transitions of care,
including: Communicating care plan to providers in all settings of
care (ED, hospital, rehabilitation facility, nursing home, home
care) and ensuring providers receive timely clinical data that may
impact healthcare treatment decisions, Direct caregiver
supportServes as a member advocate and facilitator to resolve
issues that may be barriers to care, Provide education and coaching
to the member, family, and/or caregiver about health status,
treatment options, goals of care, and health insurance benefits to
assist members in making the most informed decisions and help
promote self-management
Knowledge/Skills/Abilities :
- Bachelor of Science in Nursing (BSN)
- Registered Nurse with current, unrestricted MA state license is
required.
- Minimum 3 years clinical nursing experience required
- Experience in case management managing geriatric/chronic
illness populations required
- Experience within a SCO program highly preferred and/or
VNA
- Experience in Medicare and/or Medicaid managed care
preferred
- Proficient in computer use, the Internet, and health
information technology required
- Case management certification a plus
Keywords: Impresiv Health, Boston , RN Case Manager, Executive , Boston, Massachusetts
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