Remote RN Case Manager — In-Home Assessments

Fallon Health; United States; Remote; USD 96,000 - 105,000; Full time

Job summary

Fallon Health in the United States seeks an experienced Assessment Nurse Case Manager to perform in-home onboarding and regulatory assessments for new enrollees. You will conduct in-person Health Risk Assessments (HRAs) and PCA assessments, and ensure timely MDS submissions.

Telehealth opportunities and collaboration with a multidisciplinary team are part of the role. The position requires an RN license (MA) with 1+ year of clinical experience, and certification in Case Management is highly

Qualifications

• 1+ years of clinical RN experience with complex medical, behavioral, and social co-morbidities.
• Ability to conduct assessments in-person and telehealth.
• Ability to work on interdisciplinary teams.
• Skill in screening social determinants of health.
• Strong communication and interviewing skills.
• Problem-solving skills and adaptability.
• Knowledge or willingness to learn regulatory requirements.
• Preferred experience: Home Health, OASIS/MDS, Medicare/Medicaid, face-to-face member interactions.
• Reliable home internet.

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

Clinical RN experience

Telehealth assessments

Interdisciplinary teamwork

Social determinants of health

Care coordination

Education

Registered Nurse license

Bachelor's degree in Nursing

Certification in Case Management

Tools

OASIS/MDS

Job description

Fallon Health in the United States seeks an experienced Assessment Nurse Case Manager to perform in-home onboarding and regulatory assessments for new enrollees. You will conduct in-person Health Risk Assessments (HRAs) and PCA assessments, and ensure timely MDS submissions.

Telehealth opportunities and collaboration with a multidisciplinary team are part of the role. The position requires an RN license (MA) with 1+ year of clinical experience, and certification in Case Management is highly