Nurse Case Manager (Residential Services)

Paycom; Cranston (RI); On-site; USD 55,000 - 58,000; Full time

Job summary

Paycom in Cranston, RI is recruiting a full-time Registered Nurse to provide nursing case management and clinical oversight for residents in community settings. The role includes evaluating medical histories, treating plans, and coordinating care with interdisciplinary teams.

The ideal candidate holds an active RI RN license, CPR certification, and strong communication and organizational skills. Travel between residential locations is anticipated to support patient care and compliance.

Qualifications

• Current, unrestricted Rhode Island RN license.
• Graduate of an accredited nursing program.
• Current CPR certification.
• Strong clinical assessment, nursing judgment, communication, and organizational skills.
• Ability to independently manage multiple individuals with varying healthcare needs.
• Ability to communicate effectively with individuals with IDD, families, staff, and healthcare professionals.
• Strong documentation and electronic recordkeeping skills.

Responsibilities

• Provide nursing case management for an assigned caseload in residential settings.
• Review medical histories, diagnoses, medications, treatment plans, allergies, and risks.
• Develop, maintain, and update nursing assessments, healthcare plans, and protocols.
• Monitor health conditions and communicate changes to healthcare providers and team.
• Coordinate follow-up care after ER visits, hospitalizations, or changes in medical status.
• Participate in discharge planning and transitions of care.
• Promote preventive healthcare and ensure screenings and immunizations are addressed.
• Coordinate medical appointments, labs, and diagnostic testing.
• Communicate with PCPs, specialists, pharmacies, hospitals, families, and guardians.
• Review orders and ensure proper communication and implementation.
• Advocate for individuals to ensure continuity of healthcare services.
• Provide education on diagnoses, protocols, medications, and signs requiring intervention.
• Develop health-related training for residential staff.
• Maintain nursing documentation and support regulatory readiness.

Skills

Clinical assessment

Nursing judgment

Communication skills

Organizational skills

Multitasking

Education

Graduate of an accredited nursing program

BSN (preferred)

Tools

Electronic health records (EHR)

Job description

Job Details: Job Location: CRANSTON, RI 02920, Position Type: Full Time, Salary Range: $40.00 - $42.00 Hourly, Job Shift: Day, Position Summary

Essential Duties and Responsibilities

Nursing Case Management and Clinical Oversight

• Provide nursing case management and clinical oversight for an assigned caseload of individuals living in residential settings.
• Review each individual’s medical history, diagnoses, medications, treatment plans, allergies, healthcare needs, and identified risks.
• Develop, maintain, and update nursing assessments, healthcare plans, protocols, and other required clinical documentation.
• Monitor individuals with acute and chronic health conditions and communicate significant changes to appropriate healthcare providers and members of the interdisciplinary team.
• Coordinate follow-up care after emergency department visits, hospitalizations, procedures, or changes in medical status.
• Participate in discharge planning and transitions of care as appropriate.
• Promote preventative healthcare and ensure recommended screenings, immunizations, laboratory testing, and follow-up appointments are addressed.

Healthcare Coordination

• Coordinate medical appointments, specialist services, laboratory work, diagnostic testing, and other healthcare services.
• Review physician orders and ensure new or revised orders are appropriately communicated and implemented.
• Communicate with primary care providers, specialists, pharmacies, hospitals, families, guardians, and other healthcare partners.
• Review consultation reports and medical recommendations and ensure appropriate follow-up.
• Assist residential teams in understanding and implementing healthcare recommendations and restrictions.
• Advocate for individuals to ensure effective communication and continuity of healthcare services.

Medication Management

• Provide clinical oversight of medication administration practices within assigned residential programs.
• Review medication orders and Medication Administration Records (MARs) for accuracy and consistency.
• Coordinate with pharmacies and healthcare providers to resolve medication discrepancies or concerns.
• Monitor medication changes, potential adverse effects, and effectiveness and communicate concerns to prescribing providers.
• Conduct medication and clinical record reviews as assigned.
• Support medication administration training, competency assessment, and ongoing education for qualified staff in accordance with organizational and regulatory requirements.
• Identify medication errors or variances and participate in follow-up, education, and corrective actions as appropriate.

Residential Staff Support and Training

• Serve as a nursing resource to Residential Directors, managers, DSPs, and other program staff.
• Provide education regarding individuals’ diagnoses, healthcare protocols, medications, signs and symptoms requiring intervention, and changes in medical status.
• Develop individualized health-related training when necessary.
• Reinforce infection-control practices, universal precautions, and other health and safety standards.
• Support orientation and ongoing healthcare training for residential employees.
• Collaborate with the Training and Quality team on nursing-related education and competency initiatives.

Clinical Response and Risk Management

• Respond to clinical concerns and provide nursing guidance regarding changes in an individual's health status.
• Assist staff in determining appropriate clinical follow-up, including contact with healthcare providers, urgent care, emergency services, or other resources.
• Review incidents involving illness, injury, medication errors, hospitalization, or other healthcare concerns.
• Identify trends or areas of clinical risk and recommend preventative or corrective actions.
• Participate in root-cause reviews, quality‑improvement activities, and clinical investigations as assigned.
• Follow mandatory reporting requirements and organizational procedures regarding suspected abuse, neglect, mistreatment, or other reportable events.

Interdisciplinary Collaboration

• Participate in interdisciplinary team meetings, individual service planning meetings, clinical reviews, and other meetings as appropriate.
• Collaborate with Residential Services, Clinical Services, Behavioral Services, Nutrition, therapy providers, and other departments to support coordinated care.
• Provide nursing input regarding individual support plans and healthcare goals.
• Develop positive working relationships with individuals, families, guardians, healthcare providers, and community partners.

Documentation and Compliance

• Maintain complete, accurate, and timely nursing documentation.
• Ensure clinical records contain required healthcare information, physician orders, assessments, treatment documentation, and follow-up information.
• Participate in internal audits and regulatory reviews.
• Assist residential programs in maintaining readiness for licensing, quality, and regulatory reviews.
• Maintain confidentiality and comply with HIPAA and organizational privacy requirements.
• Follow applicable professional nursing standards, organizational policies, and state and federal requirements.

Qualifications

Required

• Current, unrestricted Registered Nurse (RN) license in the State of Rhode Island.
• Graduate of an accredited nursing program.
• Current CPR certification.
• Strong clinical assessment, nursing judgment, communication, and organizational skills.
• Ability to independently manage multiple individuals with varying healthcare needs.
• Ability to communicate effectively with individuals with intellectual and developmental disabilities, families, staff, and healthcare professionals.
• Strong documentation and electronic recordkeeping skills.
• Valid driver's license and ability to travel between residential locations and healthcare appointments as required.

Preferred

• Bachelor's degree in Nursing (BSN).
• Two or more years of nursing experience.
• Experience working with individuals with intellectual and developmental disabilities (IDD), behavioral health needs, or complex medical conditions.
• Previous experience in residential services, community nursing, case management, home health, long‑term care, or developmental disability services.
• Experience training and providing clinical guidance to non-licensed direct-care staff.

Knowledge, Skills, and Abilities

The successful candidate will demonstrate:

• Strong clinical assessment and critical‑thinking skills.
• Effective case‑management and care‑coordination skills.
• Knowledge of medication administration and medication‑management practices.
• Ability to identify changes in health status and determine appropriate clinical intervention.
• Ability to educate staff using clear, practical, and understandable language.
• Strong collaboration and relationship‑building skills.
• Excellent written and verbal communication.
• Strong attention to detail and follow‑through.
• Ability to prioritize competing needs across multiple residential programs.
• Commitment to person‑centered services, dignity, choice, independence, and quality of life for individuals with intellectual and developmental disabilities.

Physical and Work Requirements

The position requires regular travel among residential and program locations. The employee must be able to respond to clinical needs within community‑based environments and perform the physical functions necessary to complete nursing assessments and provide clinical assistance when needed. Some flexibility outside of regularly scheduled hours may be required based on individual healthcare needs, urgent clinical matters, or program needs.