Infection Control Nurse

apartment Waterview Villa Rehabilitation and Health Care Center location_onEast Providence, RI 02914, US

We are hiring an Infection Preventionist (Infection Control Nurse) to join our dynamic care team at Waterview Villa Rehabilitation and Health Care Center in East Providence!

Waterview Villa is a 132-bed skilled nursing facility. Weekly pay!

Working with our team and residents will give you purpose in your professional and personal life.

Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we also aspire to be the employer of choice. We strive to create a workplace where your skills and talents are nurtured to allow you to grow within the company.

As the ICN, you plan, organize, develop, coordinate, direct and evaluate our Infection Control Program and its components to ensure that an effective Infection Prevention & Control Program is maintained.

Education & Experience:

Must possess, as a minimum, a Nursing Degree from an accredited school of nursing, college or university.
Must possess a current, unencumbered RN license in this state and be CPR-certified.
Must possess training or current experience in wound care.
Certification in infection control and/or wound care preferred, but not necessary. Two years of Infection Control/Wound Care experience preferred.
Must have as a minimum, two (2) years clinical experience in a long-term care facility.
Must have training in rehabilitative and restorative nursing practices.
Must possess a working knowledge of epidemiology, microbiology, infectious diseases, and aseptic techniques to include Standard Precautions.

Duties & Responsibilities:

Maintains, executes and oversees the comprehensive Infection Control and Prevention Program.
Communicates and informs the Infection Control and Prevention Committee of any Infection related issue, i.e.; outbreak activity, via Quarterly Medical Staff/QA reports.
Maintains accurate and comprehensive documentation related to the Infection Control & Prevention Program.
Maintains accurate and comprehensive documentation related to the facility Skin Integrity Program.
Evaluates the status of Infection related practices in the facility via monthly surveillance rounds.
Maintains updated community awareness of potentially threatening infections.
Assists the Staff Development Director in the education of employees in Infection Control Practices, Policies, and Procedures.
Coordinates and reports on the Annual OSHA Sharps survey.
Maintains Employee Health Records.
Participates in the Employee Health and Safety Committees.
Reviews Monthly Laboratory reports, assures up to date laboratory policy/procedure manuals are available. Reviews the annual antibiogram.
Handles the Employee Exposure follow up procedures.
Reviews employee illness logs for trends/patterns and outbreaks and institutes appropriate infection control measures.
Coordinates employee annual TB symptom surveys; if annual employee Tuberculin skin tests are required, will assure their completion.
Coordinates and assists in the annual influenza program.
Protects residents’ individual health information.

Specific Requirements:

Must possess a current, unencumbered license to practice nursing in this state.
Must be able to read, write, speak and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such actions in a timely manner.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care and infection control, to include Universal Precautions.
Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for preventing and controlling infections, to include the establishing of Universal Precautions.
Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the willingness to handle difficult residents and staff.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must be able to communicate effectively to appropriate personnel regarding emergency situations.
Must possess accurate and comprehensive resident assessment skills.

About Athena Health Care Systems:

Since its establishment in 1984, Athena Health Care Systems has pioneered the delivery of exceptional healthcare services. Operating nursing homes and hospice agencies across Connecticut, Massachusetts, and Rhode Island, Athena stands out as a healthcare leader in Southern New England.

Athena’s Benefits:

Competitive and Weekly Pay
Holiday Pay for Hourly and Salaried Employees
Overtime Pay for Hourly Employees
Career Advancement Opportunities
Exclusive Employer Discount Program

Available for Eligible Team Members:

Employer-Paid Life Insurance
401(k) with Employer Match
Vacation and Personal Time
Health, Dental, and Vision Insurance

We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law.

Share this job

Related Jobs

Per Diem

Registered Nurse (RN)

apartment IntelyCare location_onAcushnet, MA

$50 - $65 / HOUR

Make as much as $65 an hour as a Registered Nurse (RN) in Acushnet, MA, and nearby areas with the unique combination of flexible schedules and W2 benefits. As a nursing professional on our team, you'll have the freedom to create your own schedule by selecting shifts at any of our partnering facilities. You can work where, when, and as much (or as little) as you like. There are no mandatory hours per week, so your schedule is entirely up to you. This freedom is paired with the perks, support, and stability of a W2 job. When you manage your own schedule, you can sign up for shifts that fit in with your unique routines and lifestyle. Maybe that means selecting shifts that won't conflict with your favorite activities, like family craft programs at the Acushnet Public Library, or your morning walk along the river at The Sawmill. Ready to find a better work-life balance? Take a look at our other benefits, and consider becoming a part of our dedicated team today. Benefits RN pay: $50 to $65 per hour Rates that are up to 25% higher on average Opportunities for overtime and boosted rates on holidays Multiple pay options — weekly and daily pay available Employer tax withholding each pay period Quickly see shifts in any state where you're authorized to practice Work whenever you choose by selecting your preferred shifts at any facility in our partner network Your choice of day/evening/overnight shifts, weekday/weekend shifts, and more Eligibility for 401k retirement plan Coverage for workers' comp and malpractice insurance (employer paid) Tuition discounts at Excelsior University (up to 34%) for undergraduate and graduate programs Ongoing opportunities to upskill with a dedicated team of QA nursing professionals Eligibility for health, dental, and vision insurance (includes qualifying family members) An all-in-one app where you can manage your shifts and access workplace perks like free CE courses At IntelyCare, you get a job and a schedule that you manage, but also a supportive community that has your back. Here's how some of our own nursing professionals have described the experience: "I love working with IntelyCare because of all the perks and benefits it provides. There are a variety of facilities to choose from in the app. At first I was going to multiple facilities until I found my two favorites, where I now work full time. I love it!" "I love how flexible this job is! I am a busy mom, so accepting last minute ‘hero’ shifts typically works out better than scheduling shifts in advance. I appreciate the pay and the additional bonuses." "IntelyCare has exceptionally high rates, a variety of facilities, and an easy and fun app to use. The staff here are all very personable and knowledgeable as well, which makes things so much easier. This is truly a 5-star agency." "I love IntelyCare because everything has been easy from the application process until now. There has never been a question unanswered, and everyone is always happy to help with whatever I needed. They always advocate on our behalf. I am so grateful to be an IntelyPro." Job Responsibilities Providing high-quality RN care in post-acute facilities Reviewing various care options with the medical team, residents, and their family members Coordinating with clinical teams to develop individualized care plans Being accountable to follow and adhere to resident care plans Administering appropriate medications and treatments to residents Drawing fluids as needed for labs and testing Using and monitoring medical equipment and devices to ensure effectiveness Training and supervising nursing professionals and other care staff consistent with scope of practice guidelines Promoting staff compliance with all applicable laws, regulations, facility policies, and nursing standards of care Documenting all relevant data to include vital signs, nursing interventions and responses, and resident histories Assisting staff members with incident investigations and the development of care best practices Qualifications and Skills Current Massachusetts state license to practice as a Registered Nurse (RN) Graduation from an approved nursing program At least 6 months of experience ( RN or related role) Ability to lift at least 50 lbs Advanced organizational and communication skills Your Path to a Better Work-Life Balance Can Start Today As you look for Registered Nurse (RN) jobs near you, this is your chance to finally have a job that accommodates your life. See how you can build the career you always wanted by applying with the team ranked #1 in quality today. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Acushnet, Massachusetts 02743

Per Diem

Registered Nurse (RN)

apartment IntelyCare location_onStoughton, MA

$50 - $65 / HOUR

Earn as much as $65 per hour as a Registered Nurse (RN) in Stoughton, MA, and the wider region, with a completely flexible schedule and the perks of W2 employment. As a member of the IntelyCare team, you'll access our all-in-one app to select your preferred shifts at any of our facility partners. Work when, where, and as much as you want, while enjoying the support and benefits provided by a W2 job. When you create your own schedule, you can fit in work around your personal interests and commitments. Hoping for a day off for finally reading that book from the Stoughton Public Library, or some fishing at Conner Pond? On our team, you'll have the freedom to take off as much time as you like — so that you can show up for your patients feeling your best. If you're ready to find the work-life balance you deserve, learn more about our benefits below and consider applying today. Benefits RN pay: $50 to $65 per hour Rates that are up to 25% higher on average Opportunities for overtime and boosted rates on holidays Multiple pay options — weekly and daily pay available Employer tax withholding each pay period Quickly see shifts in any state where you're authorized to practice Work whenever you choose by selecting your preferred shifts at any facility in our partner network Your choice of day/evening/overnight shifts, weekday/weekend shifts, and more Eligibility for 401k retirement plan Coverage for workers' comp and malpractice insurance (employer paid) Tuition discounts at Excelsior University (up to 34%) for undergraduate and graduate programs Ongoing opportunities to upskill with a dedicated team of QA nursing professionals Eligibility for health, dental, and vision insurance (includes qualifying family members) An all-in-one app where you can manage your shifts and access workplace perks like free CE courses At IntelyCare, you get a job and a schedule that you manage, but also a supportive community that has your back. Here's how some of our own nursing professionals have described the experience: "I love working with IntelyCare because of all the perks and benefits it provides. There are a variety of facilities to choose from in the app. At first I was going to multiple facilities until I found my two favorites, where I now work full time. I love it!" "I love how flexible this job is! I am a busy mom, so accepting last minute ‘hero’ shifts typically works out better than scheduling shifts in advance. I appreciate the pay and the additional bonuses." "IntelyCare has exceptionally high rates, a variety of facilities, and an easy and fun app to use. The staff here are all very personable and knowledgeable as well, which makes things so much easier. This is truly a 5-star agency." "I love IntelyCare because everything has been easy from the application process until now. There has never been a question unanswered, and everyone is always happy to help with whatever I needed. They always advocate on our behalf. I am so grateful to be an IntelyPro." Job Responsibilities Delivering high quality, resident-centered care while working as a RN in post-acute facilities Coordinating with the broader care team to shape personalized care plans for residents Communicating various care options with medical staff, residents, and their family members Taking and monitoring vital signs and drawing fluids as needed for lab work Delivering medications and administering treatments to residents Documenting vital signs, nursing interventions and responses, medical histories, and other relevant information in resident records Ensuring the effective use of medical equipment and devices Assisting staff members with incident investigations Complying with all applicable laws, regulations, policies, and standards of care Training nursing professionals and support staff as needed consistent with scope of practice requirements Being accountable to follow and adhere to resident care plans Qualifications and Skills Current Massachusetts state license to practice as a Registered Nurse (RN) Graduation from an approved nursing program At least 6 months of experience ( RN or related role) Ability to lift at least 50 lbs Advanced organizational and communication skills Ready for a Job That Puts Your Needs First? As you search for Registered Nurse (RN) jobs in your area, you don't have to settle for the work-life imbalance that you may be used to. If you're ready for something better, we're ready for you. Take the next step today by applying to the team ranked #1 in quality. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Stoughton, Massachusetts 02072

Psych

Full-time

Registered Nurse Psych Visits FT

apartment Elara Caring location_onBrockton, MA

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: ID# JR-129336 Registered Nurse Behavioral Health Home Visits - Full Time Make the difference you’ve always wanted—one patient, one family, one home at a time. Join Elara Caring today. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Registered Nurse Behavioral Health . Being a part of something this great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Registered Nurse Behavioral Health with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? Work autonomy and flexible schedules 1:1 patient care Supportive and collaborative environment Competitive compensation package Tuition reimbursement for full-time staff and continuing education opportunities for all employees Comprehensive insurance plans for medical, dental, and vision benefits 401(K) with employer match Paid time off, paid holidays, family and pet bereavement Pet insurance As a Registered Nurse Behavioral Health , you’ll contribute to our success in the following ways: Assesses assigned case load of behavioral health care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. Assumes primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the plan of treatment. Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that may influence patient/family/caregiver health status and incorporate that data into the plan of care. Makes the initial evaluation and re-evaluates the patient’s nursing needs during each visit. Makes follow up visits according to patient, family, and facility needs. Communicates significant findings, problems, and changes in health condition, environment, or unsafe facility conditions to the Clinical Supervisor, physician, facility, and/or other personnel involved with patient care. Revises the plan of care in response to identified patient care issues and notifies the Clinical Supervisor, physician, facility, and other team members. Counsels, instructs, and includes the patient, facility, and family in following the Interdisciplinary Plan of Care. Teaches behavioral health philosophy and pain and symptom management to staff in alternate care settings (nursing homes, hospital, assisted-living facilities, etc.). Initiates, supervises, and documents observance of the behavioral health aide and LPN delivery of care per agency policy. Informs supervisor and/or facility supervisor of unusual or potentially problematic nursing facility issues. Provides appropriate support at time of death and perform bereavement assessment. What is Required? High School Diploma or GED Graduate of an accredited Certificate, Diploma, Associate, or Baccalaureate School of Nursing. Current, unrestricted state RN licensee 1+ years of experience in a clinical care setting as a nurse Able and willing to travel within branch/office coverage area. Must have a dependable vehicle, valid driver’s license, and current auto insurance in accordance with state laws. Must be able and willing to travel 50% Associates Degree or Bachelors Degree in Nursing is preferred Previous Home Health or Hospice Experience is preferred Previous experience with Homecare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor This is not a comprehensive list of all job responsibilities ; a full job description will be provided. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to recruiting@elara.com.

Home Health

Part-time

Field RN - Home Health

apartment Associated Home Care location_onBrockton, MA

$45 - $48 / HOUR

Sign-On Bonus: $2,000 Eligible after 90 days of continuous part-time employment (30–39 hours per week). About Associated Home Care Fueled by a real understanding of today’s challenges, Associated is committed to a fundamental re-imagining of what it means to age. With over 20 years of operating experience, we have built a replicable service prototype, developed profitable, long-standing referral relationships, and created an innovative brand that positions us to serve the future customer. We are embarking on an exciting new growth chapter that focuses on client service excellence, caregiver engagement, technological innovation, and growth in new markets. The Opportunity We are a mission-driven organization that is dedicated to improving the lives of seniors as they age. We are passionate about what we do -- providing seniors and their families with a comprehensive, vetted and coordinated in-home service network that is high-touch, tech-enabled, compassionate and extremely well managed. We are in the exciting and dynamic home healthcare industry. Our market opportunity is large and growing as the baby boomers age and the home increasingly becomes the epicenter for care as consumers demand convenience and lower-cost solutions. Job Summary: The RN is responsible for administering the Care Plan and the patient/client’s health and wellness as indicated by the Care Plan. Assures compliance with nursing/clinical standards federal, state, and local government regulations, and company policies. This role will treat patients, when appropriate and as needed for Skilled Nursing Services. Essential Functions: 1. Follows the appropriate Care Plan in collaboration with the Director of Nursing, patient/client/caregivers, the patient/client’s physician and other care team members as appropriate. 2. Performs on-site Orientation, quarterly Supervision Visits, Skill Checks and Annual Performances of home care aides in compliance with Federal, State and applicable Accrediting body Regulations and AHC Policies. 3. Provides on-going instructions to home health aides during field visits including reinforcement of Standard Precautions, Client Respect. HIPPA and Safety. 4. Review Personal Care Plans from Aging service Access Points, (ASAP), orienting aides in following the care plan as authorized by the ASAP RN. 5. Documents services rendered and changes in client conditions and/or family and home situation. 6. Communicates with ASAP Case Managers or client’s legal representative/family any concerns or issues regarding client status as necessary. 7. Perform Mantoux tests as needed for Compliance. 8. May discuss medication changes with physician but may not take medication orders over the phone. The call must be redirected to the patient/client’s pharmacist/pharmacy. 9. Performs other duties as assigned. Knowledge, Skills and Abilities: Excellent problem-solving ability; organizational skills and requires minimal direction. Demonstrated competence in applying processes designed to ensure adherence to all pertinent federal and state rules and regulations. Strong communication skills. Possess the ability to clearly and effectively communicate with staff, physicians, referral sources, patients and their families. Demonstrated computer literacy skills. Qualifications: Required Graduate of an approved school of professional nursing. Current licensed Registered Nurse in practicing state. One or more years of experience and responsibilities in clinical home health services, or equivalent preferred. Must be a licensed driver in the appropriate state and have available independent transportation with current insurance coverage. Preferred Current CPR certification. Make a difference in the life of a senior. Apply now! Pay Range: The hiring range for this position is $45-$48/Hourly. Various factors will determine final compensation such as a candidate’s years of relevant work experience, skills, certifications, and location. HouseWorks, LLC and its Family of Companies is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability or genetic information.

Other

Nurse Case Manager - Senior Care Options - Brockton - Haitian Creole Preferred

apartment Fallon Health location_onBrockton, MA

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care for Fallon members. NCM seeks to establish telephonic and/or face to face relationships with the member/caregiver(s) to better ensure ongoing service provision and care coordination, consistent with the member specific care plan developed by the NCM and Care Team. Responsibilities may include conducting in home face to face visits for member identified as needing face to face visit interaction and assessments with the goal to coordinate and facilitate services to meet member needs according to benefit structures and available community resources. The NCM may conduct assessments and may determine the number of hours’ members require for MassHealth programs such as the personal care attendant program, adult foster care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an ACD line to support department and incoming/outgoing calls with the goal of first call resolution with each interaction. Responsibilities Note: Job Responsibilities may vary depending upon the member’s Fallon Health Product Member Assessment, Education, and Advocacy Telephonically assesses and case manages a member panel May conduct in home face to face visits for onboarding new enrollees and reassessing members, utilizing a variety of interviewing techniques, including motivational interviewing, and employs culturally sensitive strategies to assess a Member’s clinical/functional status to identify ongoing special conditions and develops and implements an individualized, coordinated care plan, in collaboration with the member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost effective quality outcome Performs medication reconciliations Performs Care Transitions Assessments – per Program and product line processes Utilizing clinical judgment and nursing assessment skills, may complete NaviCare Program Assessment Tools and Minimum Data Set Home Care (MDS HC) Form when a member’s medical/functional status changes that warrants a change in rating category to ensure members are in the correct State defined rating category Maintains up to date knowledge of Program and product line benefits, Plan Evidence of Coverage details, and department policies and processes and follows policies and processes as outlined to be able to provide education to members and providers, performing a member advocacy and education role including but not limited to member rights Serves as an advocate for members to ensure they receive Fallon Health benefits as appropriate and if member needs are identified but not covered by Fallon Health, works with community agencies to facilitate access to programs such as community transportation, food programs, and other services available through senior centers and other external partners Follows department and regulatory standards to authorize and coordinate healthcare services ensuring timeliness in compliance with documented care plan goals and objectives Assesses the Member’s knowledge about the management of current disease processes and medication regimen, provides teaching to increase Member/caregiver knowledge, and works with the members to assist with learning how to self- manage his or her health needs, social needs or behavioral health needs Collaborates with appropriate team members to ensure health education/disease management information is provided as identified Collaborates with the interdisciplinary team in identifying and addressing high risk members Educate members on preventative screenings and other health care procedures such as vaccines, screenings according to established protocols and program processes such initiatives involving Key Metrics outreach Ensures members/PRAs participate in the development and approval of their care plans in conjunction with the interdisciplinary primary care team Strictly observes HIPAA regulations and the Fallon Health Policies regarding confidentiality of member information Supports Quality and Ad-Hoc campaigns Care Coordination and Collaboration Provides culturally appropriate care coordination, i.e. works with interpreters, provides communication approved documents in the appropriate language, and demonstrates culturally appropriate behavior when working with members, family, caregivers, and/or authorized representatives With member/authorized representative(s) collaboration develops member centered care plans by identifying member care needs while completing program assessments and working with the Navigator to ensure the member approves their care plan Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager, Aging Service Access Point Geriatric Support Service Coordinator, contracted Primary Care Providers and others involved/authorized in the member’s care Manages ACO members in conjunction with the Navigator, Social Care Managers, ACO Partners, Community Partners, Behavioral Health Partners and others involved/authorized in the member’s care Monitors progression of member goals and care plan goals, provides feedback and works collaboratively with care team members and work effectively in a team model approach to coordinate a continuum of care consistent with the Member’s health care goals and needs Works collaboratively with Fallon Health Pharmacist, referring members in need of medication review based upon Program process Develops and fosters relationships with members, family, caregivers, PRAs, vendors and providers to ensure good collaboration and coordination by streamlining the focus of the Member’s healthcare needs utilizing the most optimal treatment approach, promoting timely provision of care, enhancing quality of life, and promoting cost-effectiveness of care Actively participates in clinical rounds Provider Partnerships and Collaboration May attend in person care plan meetings with providers and office staff and may lead care plan review with providers and care team as applicable. Demonstrates positive customer service actions and takes responsibility to ensure member and provider requests and needs are met Regulatory Requirements – Actions and Oversight Completes Program Assessments, Notes, Screenings, and Care Plans in the Centralized Enrollee Record according to product regulatory requirements and Program policies and processes Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and actions in conjunction with the Navigator and other members of the Clinical Integration and Partner Teams Performs other responsibilities as assigned by the Manager/designee Supports department colleagues, covering and assuming changes in assignment as assigned by Manager/designee Qualifications Education: Graduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred. License : Active, unrestricted license as a Registered Nurse in Massachusetts Certification : Certification in Case Management strongly desired Other : Satisfactory Criminal Offender Record Information (CORI) results and reliable transportation Experience: • 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 Performance Requirements including but not limited to: • Excellent communication and interpersonal skills with members and providers via telephone and in person• Exceptional customer service skills and willingness to assist ensuring timely resolution• Excellent organizational skills and ability to multi-task• Appreciation and adherence to policy and process requirements• Independent learning skills and success with various learning methodologies including but not limited to: self-study, mentoring, classroom, and group education• Working with an interdisciplinary care team as a partner demonstrating respect and value for all roles and is a positive contributor within job role scope and duties• Willingness to learn insurance regulatory and accreditation requirements• Knowledgeable about software systems including but not limited to Microsoft Office Products – Excel, Outlook, and Word • Familiar with Excel spreadsheets to manage work and exposure and familiarity with pivot tables• Accurate and timely data entry• 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 • Knowledge about community resources, levels of care, criteria for levels of care and the ability to appropriately develop and implement a care plan following regulatory guidelines and level of care criteria • Ability to effectively respond and adapt to changing business needs and be an innovative and creative problem solver Competencies: Demonstrates commitment to the Fallon Health Mission, Values, and Vision Specific competencies essential to this position: Problem Solving Asks good questions Critical thinking skills, looks beyond the obvious Adaptability Handles day-to-day work challenges confidently Willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change Demonstrates flexibility Written Communication Is able to write clearly and succinctly in a variety of communication settings and styles Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $88,000 - $95,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.