RN Other

Overview

Registered Nurse

Seven Hills Pediatric Center, an Affiliate of Seven Hills Foundation

 

We are seeking a skilled and compassionate Registered Nurse (RN) to join our dedicated team. In this role, you will assess, plan, and implement nursing care for residents, ensuring the highest standards of quality and service. You will play a vital role in supporting the health and well-being of our residents through clinical expertise and collaborative care.

 

Pay: $44.19-$50.19

Benefits for Full-time employees: 

  • Health Insurance: Offered through Blue Cross Blue Shield, with generous company contribution.
  • Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. 
  • Student Loan Assistance: Consolidation, counseling, & limited employer contribution!
  • Discounted Tuition with College & University Partnerships!
  • Tuition Assistance: Reimbursed or prepaid college coursework!
  • Home Mortgage Initiative: Favorable down payment (3-5%), reduced closing costs co-paid by Seven Hills!

Work-Life Balance:

  • Generous Accrued Paid Vacation: 3 weeks in your first year!
  • Vacation Cash-Out Option
  • Paid Personal Days
  • 11 Paid Holidays 
  • Accrued Paid Sick Time

Responsibilities

  • Conduct comprehensive health assessments and identify clinical issues.
  • Order, interpret, and evaluate diagnostic tests.
  • Provide episodic and preventive care, including treatment and medication management.
  • Develop and implement individualized care plans.
  • Collaborate with interdisciplinary teams and consulting specialists.
  • Communicate with families and guardians regarding resident care.
  • Participate in care planning meetings, health rounds, and quality assurance initiatives.
  • Assist in staff training and development.
  • Maintain accurate and timely clinical documentation.
  • Respond to emergencies and perform CPR as needed.
  • Stay current with healthcare practices through ongoing education.

 

Qualifications

Education & Experience:

  • Bachelor’s degree preferred

  • Valid Registered Nurse (RN) license in Massachusetts

  • CPR/First Aid and MAP certification required

  • 3–5 years of nursing experience, preferably in pediatrics or developmental disabilities

  • Valid Class C or D license

Skills and Knowledge:

  • Strong clinical judgment and critical thinking
  • Excellent communication and collaboration skills
  • Ability to manage multiple priorities in a dynamic environment
  • Compassionate, patient-centered approach to care
  • Familiarity with pediatric and developmental disability care preferred

Why Join Us?At Seven Hills Pediatric Center you’ll be nurturing potential, supporting families, and building futures. We offer a team-centered work environment and the opportunity to be a part of something deeply meaningful. 

 

Ready to Make a Difference?Apply now to join a supportive, innovative team where you can help individuals achieve their full potential and thrive in their communities

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Other
Advocates

Registered Nurse

$42 / HOUR
Overview Hourly rate $42.00/hour The Registered Nurse (RN) participates in the coordination of medical, behavioral health/addiction treatment services and other supports in accordance with the person-centered treatment plan to manage or co-manage complex behavioral health cases. As a member of the multidisciplinary team, the RN provides consultation, education, and support to team members and provider network regarding co-occurring medical issues related to behavioral health/substance abuse treatment and management. Minimum Education Required Bachelor's Degree Additional Shift Details 1 hour a week for consulting Responsibilities Support consortium entity teams by providing supervision, conducting audits, and actively participating as a member of their team to ensure high-quality care coordination and compliance with best practices. Provide medical consultation to team members in the assigned consortium entity Liaison to and consult with the BHPMW BHCP Medical Director. Conduct medication reconciliation functions required in the BHCP Model Contract. Participate in BHCP team meetings to ensure effective communication among all disciplines. Participate in all required orientation and training and assist with training other staff on the Care Partner (CP) Team. Develop knowledge about all focus populations and assist CP Team members in doing so. Complete all required documentation in a timely manner. Demonstrate a proactive commitment to maintaining effective communication with staff, Enrollees, Care Team members and other collaterals, and other internal and external stakeholders and customers. Promote strong working relationships and excellent customer service. Complete required trainings and other professional development activities. Strictly adhere to HIPPA and confidentiality policies at all time, including when responding to inquiries for Enrollee information Attend and actively participate in supervision and staff meetings. Maintain current certifications and licenses Ensure that all clients are treated with dignity and respect Perform all duties in accordance with the agency’s policies and procedures. Strictly follow all agency Performance Standards. Qualifications Bachelor's Degree Registered Nurse licensed in the Commonwealth of Massachusetts with minimum of 4 years of experience working with adults in a community-based mental health, substance use and/or physical health setting Demonstrated knowledge base and judgment necessary for independent clinical decision making. Excellent verbal and written communications skills. Strong interpersonal and customer relations skills required. Excellent organizational, time management and problem solving skills. Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies. Knowledge regarding psychiatric rehab and understanding of recovery model. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Must be able to perform each essential duty satisfactorily. Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport members. Must have ability to read English and communicate effectively in the primary language of the program to which he/she is assigned.
Devereux Advanced Behavioral Health

Nurse Manager

$15,000 - $200,000 / YEAR
Do you enjoy working with children in need and making a difference in their lives? Are you looking for a fulfilling part-time job? If you answered YES to either of these questions, then consider joining our Devereux Advanced Behavioral Health team! The pay for the Nurse Manager starts at $95,0000, with additional compensation added for higher education and/or years of relevant experience. The schedule for this position: Full time: Monday-Friday 8am-4pm This position is located in Rutland, MA. $3000 Sign-on for full time Devereux Massachusetts serves students with various complex psychological, emotional, and behavioral disorders, including but not limited to Autism Spectrum Disorder. As a nurse at Devereux, you will use your expertise in the field to make a positive impact on our clients and families by playing an integral role in the administrative and operational management of the Nursing Department; participating in interviewing and hiring skilled nurses; training, scheduling and supervison of the nursing team; being an active member of the center’s Senior Treatment Team and the Interdisciplinary Team; and nd evaluation of and development of procedures and protocols, ensuring that they are in line with regulations and best practice standards. Being a Nurse Manager at Devereux has its advantages! You will work with other dedicated professionals who share your passion for helping individuals in need. We offer you the privilege of being able to work closely with some of the most vulnerable people in our community, help build their strengths, and truly make a contribution to improving their lives, as well as: . License renewal CEUs as part of our nurse continuing education program On-going training opportunities - internal training in the behavioral healthcare field and job-related trainings and conferences. Performance evaluations with ongoing coaching conversations. A stable, national non-profit employer with a strong support system that is forward-thinking in clinical practice and research. Learn More About Devereux Massachusetts Full-time benefits include but are not limited to: 192 PTO hours/year and 64 sick hours/year 403b retirement account with guaranteed 3% employer contribution and potential for additional 2% match Free Life Insurance up to 2x annual salary, not to exceed $200,000 Blue Cross Health Insurance plans Short & Long Term Disability, Dental, Vision, Accident, Identity Theft, Pet, and more insurance options Free Employee Assistance Program for help with mental health, work-life balance, general-wellbeing, and more Discounts on Hotels, Rental Cars, Theme Parks, Electronics, and more Devereux's custom ASCEND career-accelerator program! You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND, the first career-accelerator program exclusively designed to give behavioral healthcare workers the career guidance, one-on-one coaching, skills, and financial assistance you need to reach your full potential. This program includes 100% of tuition covered, up to $15,000 annually for undergraduate and $25,000 annually for graduate, and student loan repayment through SAVI up to $5,200/year, among other benefits! Learn More About ASCEND Keywords: Nurse, LPN, Psych Nurse, Psychiatric Nurse, Psych, Mental Health, Nursing, Staff Nurse, IDD, residential, school, group home #sponsored Qualifications Qualifications: Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing with a Bachelor’s degree required. Master's Degree preferred. Must hold a current RN license by the Massachusetts State Board of Nursing. Minimum of 2 years of experience in nursing management Minimum of 5 years clinical experience in a related field of nursing Schedule & Pay Must be able to attend a 2-week paid orientation, Monday to Friday, 8AM to 4PM, in Rutland, MA. Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk of abuse to occur in our organization. Devereux fosters a culture of reporting abuse, and will cooperate with the authorities to the fullest extent possible. #sponsored Company Overview Company Overview Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year. Our Mission: Devereux changes lives – by unlocking and nurturing human potential for people living with emotional, behavioral or cognitive differences. With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving individuals in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. Our Culture, Our Expectations At Devereux, Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven, people-first mindset is at the heart of the compassionate and high-quality programming we provide – every day – for the individuals and families we serve, and other key stakeholders. Devereux offers challenging and exciting work, and our team environment creates an empowering, positive and rewarding atmosphere. To be successful at Devereux, you will: put the needs of others first, feel called to serve and called to lead. As a member of our team, you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services, and within all policies and employee practices. We believe a workplace rooted in inclusivity – offering a sense of belonging to all those who walk through our doors – is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces, we will engage in work that gives each of us a chance to change the world – one person, one family, one community at a time. What Devereux Offers You In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of employment. In addition, we offer; Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. Student loan debt assistance, tuition reimbursement and continuing education assistance. Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. Employee assistance / work-life balance program. Visit www.mydevereuxbenefits.org to see why Devereux is a great place to work! Devereux is a drug-free workplace, drug screening required. EOE
RN Part-time
Devereux Advanced Behavioral Health

RN - Group Homes

$40 - $42.80 / HOUR
Do you enjoy working with children in need and making a difference in their lives? Are you looking for a fulfilling part-time job? If you answered YES to either of these questions, then consider joining our Devereux Advanced Behavioral Health team! The pay for RNs starts at $40, with additional compensation added for higher education and/or years of relevant experience. The schedule for this position: Full time: Monday-Friday 8am-4pm This position is located in Rutland, MA. $3000 Sign-on for full time or $1,500 Sign-on Bonus for part time Devereux Massachusetts serves students with various complex psychological, emotional, and behavioral disorders, including but not limited to Autism Spectrum Disorder. As a nurse at Devereux, you will use your expertise in the field to make a positive impact on our clients and families by playing an integral role in admission assessments; assessing individuals; collecting and documenting individual's current health status and medical history; administering medications; and assisting with initial treatment plans and treatment planning process. Strong communication skills are required as communicating information related to the individual's medical care and behavior with the treatment team including the psychiatrist is key. You will be responsible for oversight of assigned case load of individuals residing in our group homes, and work collaboratively with team members, external agencies, and/or guardians. Being a Nurse at Devereux has its advantages! You Will Work With Other Dedicated Professionals Who Share Your Passion For Helping Individuals In Need. We Offer You The Privilege Of Being Able To Work Closely With Some Of The Most Vulnerable People In Our Community, Help Build Their Strengths, And Truly Make a Contribution To Improving Their Lives, As Well As Flexible schedule to accomodate full or part-time status. License renewal CEUs as part of our nurse continuing education program On-going training opportunities - internal training in the behavioral healthcare field and job-related trainings and conferences. Performance evaluations with ongoing coaching conversations. A stable, national non-profit employer with a strong support system that is forward-thinking in clinical practice and research. Learn More About Devereux Massachusetts Depending on hours worked, part-time benefits may include: Accrued sick time 403b retirement account with guaranteed 3% employer contribution and potential for additional 2% match Blue Cross Health Insurance plans Short & Long Term Disability, Dental, Vision, Accident, Identity Theft, Pet, and more insurance options Free Employee Assistance Program for help with mental health, work-life balance, general-wellbeing, and more Discounts on Hotels, Rental Cars, Theme Parks, Electronics, and more Devereux's custom ASCEND career-accelerator program! You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND, the first career-accelerator program exclusively designed to give behavioral healthcare workers the career guidance, one-on-one coaching, skills, and financial assistance you need to reach your full potential. This program includes 100% of tuition covered, up to $7,500 annually for undergraduate and $12,500 annually for graduate, and student loan repayment through SAVI up to $2,600/year, among other benefits! Learn More About ASCEND Keywords: Nurse, LPN, Psych Nurse, Psychiatric Nurse, Psych, Mental Health, Nursing, Staff Nurse, IDD, residential, school, group home #sponsored Qualifications Qualifications: If LPN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must be a licensed practical nurse in the State of Massachusetts. Previous experience with children and adolescents preferred. If RN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must hold a current RN license by the Massachusetts State Board of Nursing. Minimum of 2 years experience in a related field of nursing. Schedule & Pay Must be able to attend a 2-week paid orientation, Monday to Friday, 8AM to 4PM, in Rutland, MA. For RNs: Starting at $40/hour with additional compensation added for higher education and/or years of relevant experience up to $42.80/hour Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk of abuse to occur in our organization. Devereux fosters a culture of reporting abuse, and will cooperate with the authorities to the fullest extent possible. #sponsored Company Overview Company Overview Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year. Our Mission: Devereux changes lives – by unlocking and nurturing human potential for people living with emotional, behavioral or cognitive differences. With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving individuals in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. Our Culture, Our Expectations At Devereux, Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven, people-first mindset is at the heart of the compassionate and high-quality programming we provide – every day – for the individuals and families we serve, and other key stakeholders. Devereux offers challenging and exciting work, and our team environment creates an empowering, positive and rewarding atmosphere. To be successful at Devereux, you will: put the needs of others first, feel called to serve and called to lead. As a member of our team, you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services, and within all policies and employee practices. We believe a workplace rooted in inclusivity – offering a sense of belonging to all those who walk through our doors – is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces, we will engage in work that gives each of us a chance to change the world – one person, one family, one community at a time. What Devereux Offers You In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of employment. In addition, we offer; Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. Student loan debt assistance, tuition reimbursement and continuing education assistance. Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. Employee assistance / work-life balance program. Visit www.mydevereuxbenefits.org to see why Devereux is a great place to work! Devereux is a drug-free workplace, drug screening required. EOE
RN Part-time
Devereux Advanced Behavioral Health

RN - Residential

$40 - $42.80 / HOUR
Do you enjoy working with children in need and making a difference in their lives? Are you looking for a fulfilling part-time job? If you answered YES to either of these questions, then consider joining our Devereux Advanced Behavioral Health team! The pay for RNs starts at $40, with additional compensation added for higher education and/or years of relevant experience. There are multiple schedules for this position: Full time: Wednesday-Friday 3pm-11pm, Saturday double (40 hrs/week) This position is located in Rutland, MA. $3000 Sign-on for full time or $1,500 Sign-on Bonus for part time Devereux Massachusetts serves students with various complex psychological, emotional, and behavioral disorders, including but not limited to Autism Spectrum Disorder. As a nurse at Devereux, you will use your expertise in the field to make a positive impact on our clients and families by playing an integral role in admission assessments; assessing individuals; collecting and documenting individual's current health status and medical history; administering medications; and assisting with initial treatment plans and treatment planning process. Strong communication skills are required as communicating information related to the individual's medical care and behavior with the treatment team including the psychiatrist is key. You will be responsible for oversight of assigned case load of individuals residing in our group homes, and work collaboratively with team members, external agencies, and/or guardians. Being a Nurse at Devereux has its advantages! You Will Work With Other Dedicated Professionals Who Share Your Passion For Helping Individuals In Need. We Offer You The Privilege Of Being Able To Work Closely With Some Of The Most Vulnerable People In Our Community, Help Build Their Strengths, And Truly Make a Contribution To Improving Their Lives, As Well As Flexible schedule to accomodate full or part-time status. License renewal CEUs as part of our nurse continuing education program On-going training opportunities - internal training in the behavioral healthcare field and job-related trainings and conferences. Performance evaluations with ongoing coaching conversations. A stable, national non-profit employer with a strong support system that is forward-thinking in clinical practice and research. Learn More About Devereux Massachusetts Depending on hours worked, part-time benefits may include: Accrued sick time 403b retirement account with guaranteed 3% employer contribution and potential for additional 2% match Blue Cross Health Insurance plans Short & Long Term Disability, Dental, Vision, Accident, Identity Theft, Pet, and more insurance options Free Employee Assistance Program for help with mental health, work-life balance, general-wellbeing, and more Discounts on Hotels, Rental Cars, Theme Parks, Electronics, and more Devereux's custom ASCEND career-accelerator program! You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND, the first career-accelerator program exclusively designed to give behavioral healthcare workers the career guidance, one-on-one coaching, skills, and financial assistance you need to reach your full potential. This program includes 100% of tuition covered, up to $7,500 annually for undergraduate and $12,500 annually for graduate, and student loan repayment through SAVI up to $2,600/year, among other benefits! Learn More About ASCEND Keywords: Nurse, LPN, Psych Nurse, Psychiatric Nurse, Psych, Mental Health, Nursing, Staff Nurse, IDD, residential, school, group home #sponsored Qualifications Qualifications: If LPN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must be a licensed practical nurse in the State of Massachusetts. Previous experience with children and adolescents preferred. If RN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must hold a current RN license by the Massachusetts State Board of Nursing. Minimum of 2 years experience in a related field of nursing. Schedule & Pay Must be able to attend a 2-week paid orientation, Monday to Friday, 8AM to 4PM, in Rutland, MA. For RNs: Starting at $40/hour with additional compensation added for higher education and/or years of relevant experience up to $42.80/hour Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk of abuse to occur in our organization. Devereux fosters a culture of reporting abuse, and will cooperate with the authorities to the fullest extent possible. #sponsored Company Overview Company Overview Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year. Our Mission: Devereux changes lives – by unlocking and nurturing human potential for people living with emotional, behavioral or cognitive differences. With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving individuals in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. Our Culture, Our Expectations At Devereux, Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven, people-first mindset is at the heart of the compassionate and high-quality programming we provide – every day – for the individuals and families we serve, and other key stakeholders. Devereux offers challenging and exciting work, and our team environment creates an empowering, positive and rewarding atmosphere. To be successful at Devereux, you will: put the needs of others first, feel called to serve and called to lead. As a member of our team, you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services, and within all policies and employee practices. We believe a workplace rooted in inclusivity – offering a sense of belonging to all those who walk through our doors – is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces, we will engage in work that gives each of us a chance to change the world – one person, one family, one community at a time. What Devereux Offers You In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of employment. In addition, we offer; Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. Student loan debt assistance, tuition reimbursement and continuing education assistance. Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. Employee assistance / work-life balance program. Visit www.mydevereuxbenefits.org to see why Devereux is a great place to work! Devereux is a drug-free workplace, drug screening required. EOE
RN Other
Fallon Health

Nurse Case Manager - Senior Care Options - Woburn/Reading

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 member, 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, shifing 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. #P01