Nurse Case Manager

4 weeks ago


Étreux, Hauts-de-France, United States Integrated Resources Full time
Job Title: SCO Nurse Case Manager

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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