RN Case Manager: Care Coordination & Telehealth

Fallon Health; Worcester (MA); On-site; USD 95,000 - 100,000; Full time

Job summary

Fallon Health in Worcester, MA is seeking a seasoned RN Case Manager to join an interdisciplinary team focused on care coordination and improving access to quality care for NaviCare members.

Responsibilities include face-to-face and telephonic member interactions, medication reconciliation at transitions, and development of individual care plans with providers and navigators. Massachusetts RN license and case management certification preferred.

Qualifications

• RN with Massachusetts license (active, unrestricted)
• Certification in Case Management strongly desired
• 1+ year of clinical RN experience with complex co-morbidities
• Willingness to obtain case management certification
• Must have reliable transportation and valid driver's license

Responsibilities

• Assess and manage a member panel through in-person and telephonic outreach.
• Complete medication reconciliations and care transition assessments.
• Educate members on benefits, rights, disease management, medications, and preventive screenings.
• Coordinate services, develop individualized care plans, and collaborate with Navigators and care team.

Skills

Communication

Interpersonal skills

Problem-solving

Adaptability

Education

Registered Nurse RN degree

Associate's degree

Bachelor's degree preferred

Job description

Fallon Health in Worcester, MA is seeking a seasoned RN Case Manager to join an interdisciplinary team focused on care coordination and improving access to quality care for NaviCare members.

Responsibilities include face-to-face and telephonic member interactions, medication reconciliation at transitions, and development of individual care plans with providers and navigators. Massachusetts RN license and case management certification preferred.