Senior Care Options Nurse Case Manager - Springfield

Company: Fallon Community Health Plan
Location: Springfield
Posted on: May 15, 2022

Job Description:

Senior Care Options Nurse Case Manager - SpringfieldUS-MA-SpringfieldJob ID: 6822Type: Full Time# of Openings: 1Category: NursingRecruiting Location - SpringfieldOverviewFallon Health Vaccination Requirements:To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as "Remote" require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. This Senior Care Nurse Case Manager position is Mostly Working from Home plus in home visits covering Hampden and Hampshire Counties. Do you like to help senior (65+) patients/members but don't want to be on the front lines? Do you have the organization, communication, and collaboration skills needed to help Care Manage our Navicare Fallon Health members to access, receive and coordinate their care? If yes, this remote role is for you! This role is pivotal in case managing the care of our complex Navicare (age 65+) members. Duties include but are not limited to: telephonically assessing and case managing a member panel, conducting in home face to face visits for onboarding new enrollees and reassessing members annually, performing medication reconciliations, serving as an advocate for members to ensure they receive Fallon Health benefits as appropriate, educating members on preventative screenings and other health care procedures such as vaccines, and screenings, and ensuring members/PRAs participate in the development and approval of their care plans in conjunction with the interdisciplinary primary care team. Do you have strong working knowledge of Nursing Care Plans, disease management and community resources? As well as proficiencies using Microsoft products including excel pivot tables? Are you organized and want to help patients without being on the front lines?If yes, apply now and learn more about this role and our dynamic team! ResponsibilitiesMember Assessment, Education, and AdvocacyTelephonically assesses and case manages a member panel May conduct in home face to face visits for onboarding new enrollees and reassessing members, utilizing a variety of interviewing techniques, including motivational interviewing, and employs culturally sensitive strategies to assess a Member's clinical/functional status to identify ongoing special conditions and develops and implements an individualized, coordinated care plan, in collaboration with the member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost effective quality outcomeCare Coordination and CollaborationProvides culturally appropriate care coordination, i.e. works with interpreters, provides communication approved documents in the appropriate language, and demonstrates culturally appropriate behavior when working with member, family, caregivers, and/or authorized representativesWith member/authorized representative(s) collaboration develops member centered care plans by identifying member care needs while completing program assessments and working with the Navigator to ensure the member approves their care planProvider Partnerships and Collaboration May attend in person care plan meetings with providers and office staff and may lead care plan review with providers and care team as applicableDemonstrates positive customer service actions and takes responsibility to ensure member and provider requests and needs are met Regulatory Requirements - Actions and Oversight Completes Program Assessments, Notes, Screenings, and Care Plans in the Centralized Enrollee Record according to product regulatory requirements and Program policies and processes Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and actions in conjunction with the Navigator and other members of the Clinical Integration and Partner Teams Performs other responsibilities as assigned by the Manager/designeeSupports department colleagues, covering and assuming changes in assignment as assigned by Manager/designeeQualificationsEducationGraduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred. License/CertificationsLicense: Active, unrestricted license as a Registered Nurse in Massachusetts & current Driver's license and a vehicle to be used for home visitsCertification: Certification in Case Management strongly desiredOther: Satisfactory Criminal Offender Record Information (CORI) results Experience 1+ years of clinical experience as a Registered Nurse managing chronically ill members or experience in a coordinated care program requiredUnderstanding of Hospitalization experiences and the impacts and needs after facility discharge requiredExperience working face to face with members and providers preferredCompetencies:Demonstrates commitment to the Fallon Health Mission, Values, and VisionSpecific competencies essential to this position:Asks good questionsCritical thinking skills, looks beyond the obviousProblem SolvingAdaptabilityHandles day to day work challenges confidentlyWilling and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid changeDemonstrates flexibilityWritten CommunicationIs able to write clearly and succinctly in a variety of communication settings and stylesFallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. PM16PI177593684

Keywords: Fallon Community Health Plan, Springfield , Senior Care Options Nurse Case Manager - Springfield, Executive , Springfield, Massachusetts