SCO Nurse Case Manager – Khmer Preferred
Fallon Health
full-time
Posted on:
Location Type: Hybrid
Location: Beverly • Massachusetts • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Provide telephonic assessments and case management for a member panel
- Conduct in-home face to face visits for onboarding new enrollees and reassessing members
- Perform medication reconciliations
- Complete NaviCare Program Assessment Tools and Minimum Data Set Home Care (MDS HC) Form when a member’s medical/functional status changes
- Educate members about the management of current disease processes and medication regimen
- Collaborate with appropriate team members to ensure health education/disease management information is provided
- Develop and foster relationships with members, family, caregivers, providers to ensure good collaboration
- Manage ACO members in conjunction with the Navigator, Social Care Managers, ACO Partners, Community Partners, Behavioral Health Partners
- Attend care plan meetings with providers and office staff
Requirements
- Graduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred.
- Active, unrestricted license as a Registered Nurse in Massachusetts
- Certification in Case Management strongly desired
- 1+ years of clinical experience as a Registered Nurse managing chronically ill members or experience in a coordinated care program required
- Understanding of Hospitalization experiences and the impacts and needs after facility discharge required
- Experience working face to face with members and providers preferred
- Experience with telephonic interviewing skills and working with a diverse population, that may also be Non-English speaking, required
- Home Health Care experience preferred
- Effective case management and care coordination skills and the ability to assess a member’s activities of daily function and independent activities of daily function and the ability to develop and implement a care plan that meets the member’s need working in partnership with a care team preferred
- Familiarity with NCQA case management requirements preferred.
Benefits
- Satisfactory Criminal Offender Record Information (CORI) results
- Reliable transportation
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medication reconciliationcase managementclinical assessmentcare plan developmenttelephonic interviewinghome health careactivities of daily living assessmentdisease management educationMinimum Data Set Home Care (MDS HC)NaviCare Program Assessment Tools
Soft skills
collaborationrelationship buildingcommunicationcare coordinationinterpersonal skillscultural competencyproblem-solvingorganizational skillsteamworkempathy
Certifications
Registered Nurse licenseCertification in Case Management