Case Management Registered Nurse

Company Description HEALTHPOINT HOMECARE SERVICES is based in Agawam, Massachusetts, serving patients in the surrounding communities. The organization focuses on delivering personalized and coordinated homecare services that support patient safety, comfort, and independence. Interdisciplinary teams work closely with patients, families, and providers to align care plans with individual health goals. As a growing homecare provider, HEALTHPOINT HOMECARE SERVICES offers opportunities for clinical professionals to make a direct impact in community-based care while practicing in a supportive environment.

Role Description This is a full-time, home care Case Management Registered Nurse role located in Agawam, MA. The Case Management RN will coordinate and manage patient care across the continuum, including assessment, care planning, implementation, monitoring, and evaluation of outcomes. Daily responsibilities include conducting comprehensive nursing assessments in the home or community setting, identifying patient needs, and developing individualized care plans in collaboration with physicians and other healthcare professionals. The nurse will arrange and oversee services such as therapy, home health aide support, and community resources, ensuring that care is appropriate, cost-effective, and aligned with clinical guidelines. Additional duties include patient and family education, medication and treatment oversight, timely documentation, participation in interdisciplinary case conferences, and facilitation of safe transitions of care between settings.

Qualifications

• Active and unencumbered Registered Nurse (RN) license in the state of Massachusetts.
• Experience in case management, care coordination, or home health nursing, preferably in community-based or post-acute care settings.
• Strong assessment, critical thinking, and clinical judgment skills with the ability to develop and adapt individualized care plans.
• Proficiency in patient and family education, including explaining diagnoses, medications, and care instructions in clear and respectful language.
• Ability to collaborate effectively with interdisciplinary teams, including physicians, therapists, social workers, and support staff.
• Excellent organizational and time-management skills, with the capacity to manage a caseload and prioritize competing needs.
• Comfort with electronic health records (EHR), EVV, and basic digital tools for documentation, communication, and scheduling.
• Reliable transportation and willingness to travel locally for on-site patient visits, meetings, and care coordination activities.
• Current BLS certification; additional case management certifications (e.g., CCM, ACM) are preferred but not required.
• Demonstrated commitment to equitable, inclusive, and culturally responsive patient care.