Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • Boston, MA 02129

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Field Nurse jobs in Boston, MA delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

RN Care Manager- Boston Area (Field Role)

RCM Healthcare Services • Boston, MA

Posted 4 days ago

Job Snapshot

Full-Time
$83,000.00 - $96,000.00 /Year
Healthcare - Health Services
Health Care

Job Description

A well-known and reputable health plan that provides health insurance coverage to Massachusetts residents.  They are looking for several RN Care Managers for their Senior Care Options Program. 

 

Salary Range $83,000 to $96,000 (depending on experience)

Territory: Boston

 

Responsibilities:

Job Summary: In this role, the Care Manager, Senior Care Options will perform a variety of diverse and complex face to face and telephonic care management responsibilities. The Care Manager's work will primarily be conducted in the field and working remotely/in a work from home environment. The Care Manager will act as the medical clinician link within the Primary Care Team (PCT) in partnership with the Enrollee, the Geriatric Supports Services Coordinator (GSSC), Behavioral Health Strategies staff, non-clinicians, pharmacists, medical directors and others. The Care Manager will be the medical lead for the team in the completion of assessments and re-assessments, and the development of the person-centered Individualized Plan of Care (IPC). The Care Manager will manage the Enrollee through the health care continuum, including acting as the liaison for hospital staff, community based organizations and Aging Services Access Points (ASAPS), the primary care provider and other members of the PCT.

Key Functions/Responsibilities:

                     Completes initial and on-going face to face comprehensive assessment with Enrollees

                     Demonstrates strong knowledge and use of the MDS-HC assessments to maximize placement of Enrollees into the appropriate rating category

                     In conjunction with the Enrollee and the PCT develops a person centered Integrated Plan of Care

                     Facilitates meetings of the PCT

                     Utilizes evidence-based guidelines to assist Enrollees in understanding their disease process and increase their capacity for self-management and optimal health

                     Utilizes evidence-based guidelines to develop Individualized Plans of Care (IPC)

                     Evaluates the effectiveness of the IPC and progress against goals

                     Serves as designated medical clinical care subject matter expert on the PCT

                     Evaluates the effectiveness of alternative care services and ensures that cost effective, quality care is maintained according to standards

                     Facilitates linkage and referral to ASAPS and other community based organizations

                     Documents clinical assessments and coordination of care in the medical management information system in a timely manner that meets regulatory and accreditation standards

                     Ensures continuity of care through effective transition planning

                     Provides culturally competent care coordination in keeping with the Enrollee's racial, ethnic and sexual orientation

                     Utilizes data to ensure that clinical interventions result in improved clinical outcomes and appropriate utilization of services at the right time, right place, and right setting

                     Facilitates sharing of essential clinical or psychosocial information related to the Enrollee's care

                     Maintains HIPAA standards and confidentiality of protected health information.

Job Requirements

Qualifications:

                     Registered nurse

                     Bachelor's degree or an equivalent combination of education, training and experience is required.

Preferred/Desirable:

                     Master's degree in nursing, geriatric NP, or health related/public health field preferred

                     Certification in case management (CCM) preferred

                     Bilingual Spanish, Haitian Creole, Spanish Creole, French Creole

                     3 years' experience in Medical Case Management working with the geriatric population90% field, 10% remote (after 6 months)

Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.