About the role

  • Nurse Care Manager providing comprehensive case management services for seniors at Hebrew SeniorLife's affordable housing community. Collaborating with wellness coordinators to support independent living and health education.

Responsibilities

  • Partner with the wellness coordinator and the resident services team to provide comprehensive case management services to residents
  • Provide regular preventative outreach to all residents to check in on their needs and overall health, and develop trusting relationships with residents and their families
  • Conduct wellness assessments of residents to determine risk and needs
  • Actively follow up on all identified needs, including finding resources, making referrals, and ensuring residents are actively engaged in services
  • Evaluate resident medical concerns and support residents with decision-making regarding next steps, e.g., calling PCP, going to urgent care, going to the ED, or seeing a specialist
  • Coordinate with primary care physicians and specialists, hospitals, mental health, and other community providers
  • Ensure effective communication around changes in status, transitions, and service utilization
  • Active follow-up on all hospitalizations, rehab stays, and emergency room visits
  • Work with families, hospitals, rehabs, HSL Home Care, and/or VNA, ASAPs, and other providers to ensure safe discharges and ongoing services
  • Follow up regularly with at-risk residents to support adherence to health and wellness-related activities, medication, and treatment plans
  • Conduct and/or coordinate group and individual education sessions on health and wellness, including medication management
  • Track residents with special needs, such as dementia and mental health, and make appropriate referrals
  • Utilize collected data to identify, plan, schedule, and implement focused programs, such as falls prevention
  • Support and educate housing staff members about common medical conditions and how to identify and communicate status changes
  • Participate in resident services team meetings, provider meetings, and individual family meetings
  • Assist residents and family members with transition to other levels of care when needed
  • Assist with specific resident needs, such as taking vital signs, educating and assisting with Health Care Proxy and File of Life forms, arranging clinics for vaccines, and arranging other health-focused clinics, supporting residents in preparing for planned surgeries/medical tests
  • Document all work electronically in online software
  • Track residents with special needs, such as dementia and mental health, and make appropriate referrals

Requirements

  • RN and 1 year of experience or LPN and 3 years of experience required
  • 3 years of experience in aging services preferred, home health experience, and dementia care a plus
  • Excellent triage and critical thinking skills are required, as well as the ability to handle difficult situations
  • Must have compassion for and a desire to work with a senior population
  • Excellent organizational and interpersonal skills, including the ability to manage multiple projects simultaneously, work efficiently, and proactively as part of a team
  • Excellent oral and written communication skills, including the ability to communicate with residents, families, and staff in a manner that conveys respect, caring, and sensitivity
  • Motivated to learn and flexible/willing to change
  • Professional, proactive, collaborative, conscientious, and results-oriented individual
  • Optimistic and positive demeanor, good intuition, and sound judgment
  • Must be able to collect needed information and document clearly in electronic formats
  • Skills and comfort using Windows, Word and Excel required
  • Some travel in the Boston metro area for site visits and meetings is required
  • Fluency in Spanish required

Benefits

  • Excellent medical and dental benefits, available on your first day for positions over 24 hours/week
  • A 403b retirement plan open to all employees, including per diems
  • Generous paid time off
  • On-site health and wellness programming
  • Tuition reimbursement and scholarships
  • An employee recognition program

Job title

Nurse Care Manager

Job type

Experience level

Junior

Salary

$78,576 - $117,864 per year

Degree requirement

Bachelor's Degree

Location requirements

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