Personal Care Management (PCM) Clinical Supervisor, RN

Center for Living & Working, Inc. (CLW) is located in Worcester, Massachusetts and is a 501 (c)(3) non-profit agency founded in 1975 by a core group of young adults with disabilities. CLW is a consumer-directed, multi-programmed, multifaceted agency, dedicated to the empowerment of all persons with disabilities to live as independently as possible. CLW provides five core services: Advocacy, Skills training, Peer support, Information and Referral and Transitions.

CLW is looking for an Personal Care Management (PCM) Clinical Supervisor, RN to join our PCM Department.

Responsibilities:

• Staffing, development and supervision of all PCM clinical staff (RNs, LPNs, OTs) including part time flexible staff; and PCM Clinical Administrative Assistant
• Review MassHealth and One Care clinical evaluations for completeness and accuracy based on consumer’s needs.
• Remain current on state and federal regulations of the PCA Program and any internal policies and procedures of CLW.
• Conduct ongoing quality management of consumer case files and clinical evaluations to ensure all evaluations meet contract requirements.
• Provide trainings for clinical staff and other staff, as needed.
• Lead Clinical Meetings which includes agenda development and drafting meeting minutes.
• Act as the point person and respond to MassHealth inquiries on evaluations submitted, pending or deferred.
• Respond to complaints and grievances from consumers or their representatives, if any, related to the assessment process.
• Provide support and education to consumers or their representatives, if any, on the adjudication process and nurses assessment.
• Represent CLW at community events and meetings as required, ensuring that the mission and resources reflect changes in community needs.
• Work with respective teams to assign, track, and follow-up on evaluations to ensure all evaluations are submitted in a timely manner.
• Work with respective teams to request extensions or gaps in services, as needed.
• Work with respective teams in communicating with physicians or other health professionals, as needed.
• Evaluate the physical and cognitive functional status of consumers in their home and make recommendations to maximize their safety and independence for Personal Care Attendant (PCA) and/or Massachusetts Rehabilitation Commission (MRC) Home Care Assistance Programs.
• Work in tandem and exchange information with the Occupational Therapist during and throughout the initial evaluation process.
• Obtain, complete and submit all necessary documentation as required by CLW PCA Program so that a successful application can be made on a timely basis (i.e., evaluations, billing, invoice, etc.).
• Make cost effective recommendations on equipment, services, physical therapy, occupational therapy and additional skills training.
• Perform adjustment assessments for PCA Services, as requested.
• Complete in-home consumer assessments as required and provide in-person trainings for clinical staff as needed.
• Other duties may be assigned.

Essential Functions:

• Requires frequent communication (orally and/or in writing) with consumers, staff, medical providers, state agencies and other third parties.
• Requires the ability to understand the requirements of the PCA and MRC Home Care Assistance Program and to be able to evaluate and refer the consumer/guardian regarding the scope and responsibilities of the program.
• Requires the ability to travel within the service area and beyond as needed.
• Requires the ability to accurately enter information into database.
• Requires the ability to use office machinery, including calculators.
• Requires the ability to remain in a stationary position for extended periods of time.
• Requires the ability to maintain strict confidentiality.
• Requires the ability to write an individualized care plan.

Preferred Qualifications:

Education

• Associate or Bachelor Degree in Nursing
• Licensed Registered Nurse (Massachusetts)(current)

Experience

• Supervisory experience and skills.
• 3-5 years of experience as a RN in either a hospital or community nursing environment.
• Excel, Microsoft Office, database management.
• Working in or involved with the disability/elderly community.
• PCA program and Minimum Data Set-Home Care (MDS-HC) Evaluations.

Possess the ability to:

• Work independently and as a team member.
• Work effectively with individuals with diverse disabilities and cultures.
• Prioritize and meet deadlines.
• Problem solve.
• Provide guidance and advocacy.

Familiarity with:

• Independent Living issues and philosophy.
• MassHealth, state agencies and provider service system available to serve individuals with disabilities/ (older persons).
• Civil rights for individuals with disabilities.

Individuals with disabilities are strongly encouraged to apply.

CLW is an AA/EEO Employer

Benefits offered:

• Hybrid remote work environment
• Medical - Blue Cross Blue Shield
• Dental - Delta Dental
• Life Insurance
• Long Term Disability (LTD)
• 403(b) Retirement with employer matching contribution
• 12 Paid Holidays
• Vacation
• Sick Time
• Paid Parking
• Mileage Reimbursement
• Tuition Remission
• Training Opportunities

Job Type: Full-time

Pay: $85,000.00 per year

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Employee assistance program
• Free parking
• Health insurance
• Life insurance
• Mileage reimbursement
• Paid time off
• Parental leave
• Retirement plan

Schedule:

• 8 hour shift
• Day shift

Work setting:

• Hybrid work

Education:

• Associate (Required)

Experience:

• Nursing: 3 years (Preferred)

License/Certification:

• RN (Massachusetts) (Required)
• Driver's License (Required)

Ability to Relocate:

• Worcester, MA 01608: Relocate before starting work (Required)

Work Location: Hybrid remote in Worcester, MA 01608