Home-Visit RN Case Manager & Assessments

Fallon Community Health Plan, Inc.; Lowell, Northern (MA, KY); Hybrid; USD 95,000 - 100,000; Full time

Job summary

Fallon Health in Lowell, MA is seeking an Assessment Nurse Case Manager to onboard new enrollees within 30 days, complete health risk assessments and PCA evaluations, and submit MDS assessments. The role includes in-person visits, with occasional telehealth, and collaboration with the care team on LTSS evaluations.

Requirements include an active MA RN license, 1+ year RN experience with complex cases, and willingness to learn regulatory requirements.

Qualifications

• RN degree from an accredited school of nursing.
• Bachelor's degree in nursing or health care related field preferred.

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.

Education

RN degree / nursing degree

BSN preferred

Job description

Fallon Health in Lowell, MA is seeking an Assessment Nurse Case Manager to onboard new enrollees within 30 days, complete health risk assessments and PCA evaluations, and submit MDS assessments. The role includes in-person visits, with occasional telehealth, and collaboration with the care team on LTSS evaluations.

Requirements include an active MA RN license, 1+ year RN experience with complex cases, and willingness to learn regulatory requirements.