Community based Registered Nurse delivering clinical care management to dually-eligible enrollees with complex needs. Collaborating with healthcare providers and community resources to improve health outcomes.
Responsibilities
Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship.
Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions.
Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments.
Lead the interdisciplinary care team (ICT) and collaborate with peers to create holistic care plans that address medical and non-medical needs.
Oversee enrollee utilization of long-term services and supports, ensuring appropriate systems are in place for enrollees.
Educate members about their benefits and available services under both Medicare and Medicaid.
Requirements
Associates of Science (A.S) degree in nursing from an accredited nursing program required or Master's degree in social work or mental health counseling and independent license required.
Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with people with complex medical, behavioral and social needs as an LPN, CHW, MA required.
Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or a Licensed Mental Health Counselor (LMHC) required.
Case Management Certification is highly preferred.
Must have valid driver's license, vehicle and verifiable insurance.
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.
Benefits
Influenza vaccination is a requirement of this position.
CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season.
Reasonable accommodations to qualified individuals with disabilities or medical conditions.
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