Job Description

Compensation: $26.37/hr LPN or $33.00/hr RN

Due to critical service need of the communities we serve, we are offering a $6000 sign-on bonus.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen!

This is a Full-time, benefit eligible position. The schedule is Monday - Friday 8:00am - 4:30pm.

The Nurse Care Manager is part of the person-centered integrated care team and provides individual and population-based health interventions to persons enrolled in the Health Care Home by integrating care for physical health conditions into the behavioral health setting.

ESSENTIAL FUNCTIONS – JOB SPECIFIC

• Responsible for completion of monthly assigned interventions, and all aspects of care according to DMH regulations, for a case load of up to 200 Healthcare Home clients
• Meet with assigned clients to complete health screening initially and annually; identify risk level, care caps and make recommendations
• Assist in developing a physical health goal for the Wellness Plan; promote healthy lifestyles including healthy nutrition, physical activity, and freedom from tobacco/nicotine use
• Ensure that clients are referred to a PCP and/or Specialist if they do not have one; provide education to clients regarding the importance of having a PCP and encourage regular usage of their PCP for screening and management of chronic health conditions; provide education regarding the appropriate use of PCP/Urgent Care/ED
• Complete Metabolic Syndrome Screenings on assigned clients following the Metabolic Screening Policy and Standing Order
• Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital per agency guidelines
• Provide education to clients/caregivers identified on monthly reports, and as needed, regarding physical health conditions, treatment, screening, prevention, and self-management
• Provide consultation and education for community-based and office-based staff about identifiable health conditions
• Consult with Specialized Healthcare Consultant as scheduled and as needed
• Assist in contacting/collaborating with medical providers and other human/social service agencies regarding significant health information to ensure the provision of holistic services
• Function as part of a multi-disciplinary team; attend team meetings, CPRC/SUD team huddles, and integrated meetings as assigned
• Attend agency meetings and DBH/Council meetings as assigned
• Travel to assigned clinics; travel to other clinics/locations for nursing coverage and trainings/meetings as needed
• Travel to client’s home when indicated
• Meet service provision expectations per client needs and company guidelines
• Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member
• Other duties as assigned