Assessment Nurse Case Manager — In-Home Care & MDS

Fallon Health; Worcester (MA); On-site; USD 95,000 - 100,000; Full time

Job summary

Fallon Health in Worcester, MA is seeking an Assessment Nurse Case Manager to onboard new enrollees within 30 days and complete Health Risk Assessments. This role conducts in-person visits and occasional telehealth to support members’ care plans and LTSS evaluations.

Requirements include RN license in Massachusetts, a bachelor’s degree (or higher) in nursing or related field, and 1+ year of clinical RN experience with complex conditions. Driving a personal vehicle is required.

Qualifications

• 1+ year of clinical RN experience with complex medical, behavioral, and social co-morbidities.
• Ability to conduct assessments in-person and telehealth.
• Ability to work on interdisciplinary teams.

Responsibilities

• Conducts home visits for onboarding and regulatory assessments.
• Completes HRAs and PCA assessments.
• Submits MDS assessments.
• Provides education on NaviCare case management program.
• Conducts telephonic assessments when appropriate.
• Collaborates with Care Team.
• Completes LTSS evaluations and collaborates with UM.

Skills

RN experience

Assessments (in-person/telehealth)

Interdisciplinary teamwork

Communication skills

Problem solving

Education

Graduate from accredited nursing school

Bachelor's degree in nursing or related field

Job description

Fallon Health in Worcester, MA is seeking an Assessment Nurse Case Manager to onboard new enrollees within 30 days and complete Health Risk Assessments. This role conducts in-person visits and occasional telehealth to support members’ care plans and LTSS evaluations.

Requirements include RN license in Massachusetts, a bachelor’s degree (or higher) in nursing or related field, and 1+ year of clinical RN experience with complex conditions. Driving a personal vehicle is required.