Senior Care Manager

4 days ago


Boston, Massachusetts, United States Boston Health Care for the Homeless Program Full time
Job Summary

**About the Role**

Boston Health Care for the Homeless Program is seeking a Registered Nurse Care Manager to join our Senior Care Team. This is an exciting opportunity for a nurse who would like to have a lasting impact on a team and its patients by being a part of its inception.

Key Responsibilities:

  • Participate in creating workflows and standards for caring for seniors who have experienced homelessness or are currently experiencing homelessness.
  • Provide direct patient care as part of a multidisciplinary outreach team. This includes home visits, and outreach to hospitals, homeless shelters, and other settings, as needed; employ a trauma-informed and harm-reduction approach to caring for patients with a history of serious mental illness and/or substance use disorder.
  • Collaboratively participate as a member of the primary care team that includes Providers, RNs, Behavioral Health Clinicians, Medical Assistants, Case Managers and others; implement prevention & engagement strategies in partnership with Senior Care Team members; work with the team to determine appropriate health assessments for this program, provide clinical oversight and tracking for comprehensive health assessments for enrolled patients.
  • Use data to evaluate outcomes of targeted interventions for panel and assist in developing appropriate adjustments to care plans based on this data.
  • Connect enrollees to various needed supportive services and resources such as visiting nursing, nutrition, and social services.
  • Communicate clearly and professionally with other members of the interdisciplinary team as well as with patients and caregivers.
  • Conform to BHCHP standards of performance around patient rights, customer service, infection control, safety procedures and culturally competent care.
  • Remain flexible in duties as role expands and is available for assistance with other projects as needed.

Requirements:

  • Strong nursing assessment skills
  • Interest in working with disadvantaged groups and elder care; understanding of substance use disorder and mental health
  • Must be well organized, efficient and be able to work autonomously and within a team. Must be able to collaborate with multidisciplinary teams to achieve best patient care
  • Proficient with Microsoft suite and ability to adapt to technological changes
  • Timely and strong communication skills via phone, e-mail, and internal secured messaging systems; ability to prioritize and have attention to timetables to complete task
  • Willingness to travel to outreach/various sites; valid driver's license and car required or strongly recommended to travel to multiple sites
  • Fluency in Spanish or Haitian Creole, a plus

Benefits:

  • The hourly compensation starts at $35.22, and increases based on years of experience.
  • BHCHP full-time employees are eligible for our competitive time off policy of 4 weeks' vacation, health, dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass program with 40% discount. In addition, eligible employees will receive yearly increases, additional compensation of seven thousand five hundred dollars added to your base hiring rate for demonstrated bilingual proficiency and the opportunity to work with local hospitals and community health centers.


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