In-Home Nurse Case Manager: LTSS Assessments & MDS

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

Job summary

Fallon Health in Massachusetts seeks an Assessment Nurse Case Manager to perform in-home onboarding visits and regulatory assessments for new enrollees, with in-person HRAs and PCA evaluations. Roles include annual MDS submissions and telehealth assessments as appropriate.

The position requires an active MA RN license, a nursing degree (BSN preferred), and case management certification is strongly desired. Driving is required with reliable transportation.

Qualifications

• Graduate from an accredited school of nursing mandatory.
• Active, unrestricted license as a Registered Nurse in Massachusetts.
• Certification in Case Management strongly desired.
• Driving your personal vehicle is an essential job function with valid license and insurance.

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.
• Performs medication reconciliation.
• Maintains program/policy knowledge to educate members.

Skills

Communication skills

Interdisciplinary teamwork

Assessment skills

Motivational interviewing

SDOH screening

Problem solving

Education

Bachelor's degree in nursing

Massachusetts RN license

Case management certification preferred

Job description

Fallon Health in Massachusetts seeks an Assessment Nurse Case Manager to perform in-home onboarding visits and regulatory assessments for new enrollees, with in-person HRAs and PCA evaluations. Roles include annual MDS submissions and telehealth assessments as appropriate.

The position requires an active MA RN license, a nursing degree (BSN preferred), and case management certification is strongly desired. Driving is required with reliable transportation.