Nurse Case Manager
4 weeks ago
Location: Massachusetts (Travel Position)
Duration: 3 Months+
Job Summary:
We are seeking a skilled Nurse Case Manager to join our team at Integrated Resources. As a SCO Nurse Case Manager, you will be responsible for managing all aspects of member care for a panel of frail elderly, while working within a healthcare team.
Key Responsibilities:
- Conduct timely and comprehensive geriatric assessments to identify risk factors and develop individualized care plans.
- Interface with physicians, primary care team members, members, and caregivers to ensure seamless care coordination.
- Facilitate member and caregiver access to community resources, including referrals to Adult Day Health, Adult Foster Care, and the Personal Care Attendant Program.
- Participate in routine primary care team meetings to ensure effective communication and collaboration.
- Proactively manage and follow up on member care plans, including home visits and telephone calls.
- Coordinate transitions of care, ensuring timely communication with providers in all settings.
- Provide direct caregiver support and serve as a member advocate to resolve issues that may be barriers to care.
- Offer education and coaching to members, families, and caregivers on health status, treatment options, goals of care, and health insurance benefits.
Requirements:
- Bachelor's of Science in Nursing (BSN) and Registered Nurse with current, unrestricted state license.
- Minimum 5 years clinical nursing experience, with a focus on geriatric and chronic illness populations.
- Experience within a SCO program is highly preferred, as is experience in Medicare and/or Medicaid managed care.
- Proficient in computer use, the Internet, and health information technology.
- Case management certification is a plus.
Working Conditions:
- Ability to travel frequently to member homes, hospitals, skilled nursing facilities, PCP office practices, and other sites where patients receive care.
Confidentiality:
- All information encountered while working at Integrated Resources is considered confidential.
- Exposed to and required to deal with highly confidential and sensitive material, adhering to corporate compliance policy, department guidelines/policies, and all applicable laws and regulations.
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