Assessment Nurse Case Manager - In-Home HRA/MDS (Temp→Perm)

Fallon Community Health Plan, Inc.; Worcester, Northern (MA, KY); Hybrid; USD 79,000 - 83,000; Full time

Job summary

Fallon Health in Worcester, MA seeks an experienced Assessment Nurse Case Manager for a temp-to-perm role, performing HRAs and MDS/UCA assessments, plus PCA assessments, with in-home visits to onboard new enrollees within 30 days.

Role may include telehealth. Requires MA RN license, 1+ year RN experience with complex conditions, and ability to work in an interdisciplinary team. Driving is required.

Qualifications

• 1+ years 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.
• Knowledge of social determinants of health.

Responsibilities

• Conduct in-home visits for onboarding and regulatory assessments.
• Completes HRAs, PCA assessments, and submits MDS assessments.
• Provides education on NaviCare case management program.
• Collaborates with Care Team and UM; participates in audits and training.
• Maintains program knowledge to educate members.

Skills

RN

Communication skills

Interdisciplinary teamwork

Telehealth ability

Education

Nursing degree (BSN preferred)

Massachusetts RN license

Job description

Fallon Health in Worcester, MA seeks an experienced Assessment Nurse Case Manager for a temp-to-perm role, performing HRAs and MDS/UCA assessments, plus PCA assessments, with in-home visits to onboard new enrollees within 30 days.

Role may include telehealth. Requires MA RN license, 1+ year RN experience with complex conditions, and ability to work in an interdisciplinary team. Driving is required.