In-Home Nurse Case Manager - HRA & MDS (Temp-to-Perm)

Fallon Community Health Plan, Inc.; Lowell (MA); On-site; USD 79,000 - 83,000; Full time

Job summary

Fallon Health is seeking an experienced Assessment Nurse Case Manager for the Lowell area. The position involves in-home assessments, HRAs, and MDS submissions, with telephonic options where appropriate. This temp-to-perm role requires an MA-licensed RN and strong collaboration with the care team.

Responsibilities include onboarding new enrollees, education on NaviCare programs, and coordinating regulatory assessments. A proactive, adaptable nurse with excellent communication is ideal.

Qualifications

• Graduate from an accredited school of nursing mandatory.
• Bachelor's (or advanced) degree in nursing or health care related field preferred.
• Active MA RN license required.

Responsibilities

• Conduits 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.
• Maintains program/policy knowledge to educate members.
• Supports HEDIS, Medicare 5 Star, and other initiatives.

Skills

Strong communication

Interviewing skills

Problem-solving

Adaptability

Regulatory knowledge

Reliable home internet

Education

Bachelor of Science in Nursing

RN licensure in MA

Job description

Fallon Health is seeking an experienced Assessment Nurse Case Manager for the Lowell area. The position involves in-home assessments, HRAs, and MDS submissions, with telephonic options where appropriate. This temp-to-perm role requires an MA-licensed RN and strong collaboration with the care team.

Responsibilities include onboarding new enrollees, education on NaviCare programs, and coordinating regulatory assessments. A proactive, adaptable nurse with excellent communication is ideal.