Home-Visit RN Case Manager for LTSS & MDS

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

Job summary

Fallon Health in Massachusetts seeks an Assessment Nurse Case Manager to perform face-to-face home visits for onboarding new enrollees within 30 days and to complete regulatory assessments. The role includes in-person HRAs, PCA assessments, and timely MDS submissions.

Responsibilities also cover education on NaviCare case management, telephonic assessments when needed, and close collaboration with the care team. Strong communication and driving requirements are essential.

Qualifications

• Graduate from an accredited school of nursing.
• Bachelor's (or advanced) degree in nursing or a health care related field preferred.
• Active Massachusetts RN license.
• Certification in Case Management strongly desired.
• Driving your personal motor vehicle is an essential function; valid driver's license and reliable transportation required.

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

Communication

Interviewing

Telehealth

Teamwork

Problem-solving

Regulatory knowledge

Education

Bachelor's in Nursing

Job description

Fallon Health in Massachusetts seeks an Assessment Nurse Case Manager to perform face-to-face home visits for onboarding new enrollees within 30 days and to complete regulatory assessments. The role includes in-person HRAs, PCA assessments, and timely MDS submissions.

Responsibilities also cover education on NaviCare case management, telephonic assessments when needed, and close collaboration with the care team. Strong communication and driving requirements are essential.