In-Home Nurse Case Manager — Assessments & Care Coordination

Fallon Community Health Plan, Inc.; Lynn (MA); On-site; USD 95,000 - 100,000; Full time

Job summary

Fallon Health in Massachusetts seeks an Assessment Nurse Case Manager to onboard new enrollees within 30 days, completing health risk assessments and PCA assessments. You will perform MDS submissions and in-person or telephonic assessments as needed, collaborating with the care team.

Responsibilities include conducting home visits, educating members about NaviCare, and supporting HEDIS/Medicare/Medicaid initiatives.

Qualifications

• Graduate from an accredited school of nursing.
• Active, unrestricted RN license in Massachusetts.
• Case management certification strongly desired.

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 skills

Interviewing skills

Team collaboration

Problem-solving

Adaptability

Education

RN license in Massachusetts

Nursing degree (BSN or higher)

Case management certification desired

Job description

Fallon Health in Massachusetts seeks an Assessment Nurse Case Manager to onboard new enrollees within 30 days, completing health risk assessments and PCA assessments. You will perform MDS submissions and in-person or telephonic assessments as needed, collaborating with the care team.

Responsibilities include conducting home visits, educating members about NaviCare, and supporting HEDIS/Medicare/Medicaid initiatives.