RN Case Manager: Care Coordination & Telehealth

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

Job summary

Fallon Health in Massachusetts seeks a Registered Nurse Case Manager (NCM) to join an interdisciplinary team focused on care coordination and improving access to high-quality care for NaviCare members. The NCM conducts assessments, creates care plans, and coordinates services across providers to meet member needs under benefit structures and resources.

The role requires an active MA RN license, experience in care coordination, and ability to work in interdisciplinary rounds, with emphasis on

Qualifications

• RN license in Massachusetts (Active, unrestricted)
• Certification in Case Management strongly desired (willing to obtain)
• Must have valid driver's license and reliable transportation

Responsibilities

• Assess and manage a member panel via in-person and telephonic outreach.
• Complete medication reconciliations and care transition assessments.
• Educate members on benefits, rights, disease management, medications, and screenings; ensure participation in care plans.
• Support member self-management through coaching and health education.
• Develop and update individualized care plans; coordinate services and authorize care per standards.
• Collaborate with Navigators, PCPs, Behavioral Health Case Managers, pharmacists, and community partners.

Skills

RN

Communication

Teamwork

Telehealth

Education

Associate degree in nursing

Bachelor's degree preferred

Job description

Fallon Health in Massachusetts seeks a Registered Nurse Case Manager (NCM) to join an interdisciplinary team focused on care coordination and improving access to high-quality care for NaviCare members. The NCM conducts assessments, creates care plans, and coordinates services across providers to meet member needs under benefit structures and resources.

The role requires an active MA RN license, experience in care coordination, and ability to work in interdisciplinary rounds, with emphasis on