What are the responsibilities and job description for the ACO Nurse Care Manager-Bonus position at Caring Health Center, Inc.?
ACO Nurse Care Manager Job Category: Healthcare Support Requisition
Number: ACONU001082 Full-Time On-site Springfield, MA 01103, USA
\*\*\*\* 10,000 SIGN-ON BONUS\*\*\*\* The Nurse Care Manager provides
complex care management, connecting members with appropriate social
services and promoting self-management of their behavioral and medical
needs. The Nurse Care manager is a key member of an interdisciplinary
team in the development and implementation of care plans to enhance the
member\'s overall health and to achieve appropriate utilization of
services. They will also assess plans, implement, coordinate, monitor,
and evaluate care plans, services, and outcomes to maximize the health
of the member. Qualifications: Licensed Practical Nurse (LPN) with Care
Management experience, Associate degree in Nursing (ASN) or Bachelor\'s
degree in Nursing, BSN (preferred) Current, active MA Nursing license
Minimum 2-5 years of nursing experience in community public health, case
management, coordinating care across multiple settings, and with
multiple providers is also recommended. Case Management Certification
(CCM, ANCC RN-BC) preferred. A valid driver\'s license and provision of
a working vehicle. Required Skills: Demonstrated success in working as
part of a multi-disciplinary team, including communicating and working
with Providers, Pharmacists, Social Workers, Community Health Workers,
and other health care teams. Experience within the ACOs member
population preferred, including Medicare/Medicaid Ability to flexibly
utilize clinical expertise to solve complex problems. Bi/multi-lingual
Preferred Or Experience With Language Translation Services Experience
working with patients with chronic and behavioral health needs. Must be
flexible and adaptable to change. Demonstrate the ability to work
independently with licensure support and oversight where applicable.
Must demonstrate excellent interpersonal communication skills.
Experience using appropriate technology, such as computers, for
work-based communication. Other Desired Skills: Familiarity with the
MassHealth ACO program Familiarity with Federally Qualified Health
Centers Principal Responsibilities and Duties: Conducts Comprehensive
Assessments Ensures that medication reconciliation is complete. The
Nurse CM will complete the medication reconciliation and may include a
pharmacist and/or primary care team. Engages members and caregivers in
active care planning with a focus on medical, behavioral, social, and
member-centered care needs. Coaches and guides members/representatives
to meet bio/psycho/social goals. Provide care coordination, which may
include, but not limited to, facilitating care transitions, supporting
the completion of referrals, and/or providing or confirming appropriate
follow-up. May be required to meet members while they are inpatient to
provide education and support about the discharge process and transition
members into care management. May need to travel throughout the assigned
area to engage members at their homes, at the health center, or other
locations where the member may be located. Assesses the member\'s
knowledge of their medical, behavioral health, and/or social conditions
and provides education and self-management support, including symptom
response plans based on the member\'s needs and preferences. Connects
members with primary care, behavioral health, flexible services,
Community Partner, respite, and other community-based social services as
indicated and appropriate. Participates in the integrated care team
meetings and rounds as required. Maintain accurate, timely documentation
in the Electronic Health Records (EHRs) Provides coverage for team
members who are out of the office. Other duties as assigned \*Salary
ranges from \$39 - \$52.41
Number: ACONU001082 Full-Time On-site Springfield, MA 01103, USA
\*\*\*\* 10,000 SIGN-ON BONUS\*\*\*\* The Nurse Care Manager provides
complex care management, connecting members with appropriate social
services and promoting self-management of their behavioral and medical
needs. The Nurse Care manager is a key member of an interdisciplinary
team in the development and implementation of care plans to enhance the
member\'s overall health and to achieve appropriate utilization of
services. They will also assess plans, implement, coordinate, monitor,
and evaluate care plans, services, and outcomes to maximize the health
of the member. Qualifications: Licensed Practical Nurse (LPN) with Care
Management experience, Associate degree in Nursing (ASN) or Bachelor\'s
degree in Nursing, BSN (preferred) Current, active MA Nursing license
Minimum 2-5 years of nursing experience in community public health, case
management, coordinating care across multiple settings, and with
multiple providers is also recommended. Case Management Certification
(CCM, ANCC RN-BC) preferred. A valid driver\'s license and provision of
a working vehicle. Required Skills: Demonstrated success in working as
part of a multi-disciplinary team, including communicating and working
with Providers, Pharmacists, Social Workers, Community Health Workers,
and other health care teams. Experience within the ACOs member
population preferred, including Medicare/Medicaid Ability to flexibly
utilize clinical expertise to solve complex problems. Bi/multi-lingual
Preferred Or Experience With Language Translation Services Experience
working with patients with chronic and behavioral health needs. Must be
flexible and adaptable to change. Demonstrate the ability to work
independently with licensure support and oversight where applicable.
Must demonstrate excellent interpersonal communication skills.
Experience using appropriate technology, such as computers, for
work-based communication. Other Desired Skills: Familiarity with the
MassHealth ACO program Familiarity with Federally Qualified Health
Centers Principal Responsibilities and Duties: Conducts Comprehensive
Assessments Ensures that medication reconciliation is complete. The
Nurse CM will complete the medication reconciliation and may include a
pharmacist and/or primary care team. Engages members and caregivers in
active care planning with a focus on medical, behavioral, social, and
member-centered care needs. Coaches and guides members/representatives
to meet bio/psycho/social goals. Provide care coordination, which may
include, but not limited to, facilitating care transitions, supporting
the completion of referrals, and/or providing or confirming appropriate
follow-up. May be required to meet members while they are inpatient to
provide education and support about the discharge process and transition
members into care management. May need to travel throughout the assigned
area to engage members at their homes, at the health center, or other
locations where the member may be located. Assesses the member\'s
knowledge of their medical, behavioral health, and/or social conditions
and provides education and self-management support, including symptom
response plans based on the member\'s needs and preferences. Connects
members with primary care, behavioral health, flexible services,
Community Partner, respite, and other community-based social services as
indicated and appropriate. Participates in the integrated care team
meetings and rounds as required. Maintain accurate, timely documentation
in the Electronic Health Records (EHRs) Provides coverage for team
members who are out of the office. Other duties as assigned \*Salary
ranges from \$39 - \$52.41
Salary : $39 - $52