Nursing Jobs in Milford, MA
$115,000 - $120,000 / year
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 clinical delegation vendor relations manager is responsible for handling multiple delegated UM healthcare vendor relationships as the main point of contact, managing the day-to-day operational work, delegation oversight, associated projects and instituting and monitoring operational metrics. This position will collaborate with various internal departments and program/product stakeholders at all levels to support the governance of the vendor contract relationships. This will include but not be limited to evaluating and prioritizing multiple requests put forth by internal departments/stakeholders, cadence of joint operating meetings, potential change in scope of vendor contracts and problem resolution and corrective action plans. Key interface between Fallon Health Regulatory Compliance and healthcare vendor and to ensure healthcare vendor is in compliance with federal and state requirements. Responsibilities Primary Job Responsibilities: Performance Management: Develop and institutionalize operational metrics Research, collection, tracking and reporting of vendor metrics Develop and maintain vendor scorecard to be reviewed with vendor and internal departments and stakeholders Conduct vendor delegation audits and meetings to review vendor performance linked to regulatory compliance and contractual obligation Main point of contact for vendor and internal departments: Track escalated issues and reporting of root cause analysis Troubleshoot all vendor problems and present to management as required Identify and implement continuous enhancements and efficiencies associated with vendor management Perform regulatory compliance and performance of Fallon’s vendors Maintain vendor information and share with internal team related to contract obligations and day-to-day updates Other duties: may also be assigned if needed Qualifications Education: Bachelor’s degree or equivalent work experience required. Master’s degree in Business Administration, Healthcare Administration, or Public Health preferred but not required. Project Management experience valuable but not required. License/Certification: RN Clinical licensure required; Prefer MA RN license Experience: Minimum of three years’ experience in managed healthcare environment(s) or equivalent experience with related work in provider/healthcare vendor contracting, provider/healthcare vendor relations, utilization and care management, delegation oversight healthcare finance, provider reporting/profiling, and/or project management. Analytical, organizational, strategic and creative thinking skills are required. Excellent verbal, written and computer skills (Microsoft Word, Excel, Power Point) are essential to this position. Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $115,000 - $120,000 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. #P02 
$83,532.80 - $167,044.80 / year
SUMMARY: Reporting to the Nursing Director, the Operational Support RN, Non-Procedural coordinates resources support for the assigned units, while providing leadership and support to staff. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: PRINCIPAL DUTIES AND RESPONSIBILITIES:The Operational Support RN, Non-Procedural (OS RN) collaborates and supports the health care team in the delivery of quality and fiscally responsible patient-focused care as evidenced by providing/directing nursing care throughout the patient’s life span with consideration of the aging process, developmental and cultural patterns in each step of the nursing process.Collaborates with the health care team to foster communication with patients and their family members to facilitate positive patient outcomes and discharge planning. Reports status of unit operations, activities and issues to the Clinical Manager or appropriate discipline.Responsible for coordinating with physicians, nursing, and ancillary departments to prioritize and manage patient flow Participates in quality assessment and improvement programs to evaluate effectiveness of care delivered and makes recommendations for improved individual and unit performanceAssist with unit staffing plans to provide fiscally sound and acuity-based staffing patterns. . Identifies staff educational needs and works with the Clinical Managers and Education Coordinators to develop and deliver learning.In collaboration with the clinical manager, participates in retention efforts. Mentors, coaches, , and motivates staff.Collaborates with education and professional practice teams to deliver educational needs for team members and nursing units Communicate nursing objectives, standards, and goals to bedside team.Co-chair or chair a quality initiative for facility wide improvements.Participates in the formation and implementation of policy, procedures, and standards, and compliance to TJC standards.Maintains an active CEU/Education file. MINIMUM QUALIFICATIONS: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.Bachelor of Science in Nursing required. Candidates matriculated into a BSN program will be considered.Minimum of 6 months Nursing experience with demonstrated clinical and leadership skills. 2 years of Nursing experience preferred. Maintains mandatory skills; remains current in practice and technology. Pay Range $83,532.80-$167,044.80 EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type 40 hours per week. 36 hours 3 12 and 4 additional quality hours Work Shift Day Daily Hours 12 hours Driving Required No 
Job Summary The Home Care Licensed Practical Nurse provides direct nursing services to individuals and families in the home and in the community. This position reports to the Nursing Supervisor, Home care, in conjunction with the patient’s primary nurse. Minimum Qualifications Education Graduate of an approved practical/vocational nursing program. Experience Minimum two years of medical/surgical experience required. Knowledge and experience in the practice of community health nursing preferred. Home care experience preferred. Licensure and/or Certification Current MA license to practice as practical/vocational Nurse. BLS healthcare provider required Skills Basic nursing skills. Communication skills. Assessment skills. Critical thinking skills. Organizational skills. Computer skills. Ability to maintain confidential information. Ability to read, write and communicate in English. Excellent customer service skills required. $10,000 sign on bonus Job Summary Reporting to the Nursing Supervisor, Home Care, this position provides for assessment, development of individualized care planning and goal setting, instruction to patient/family, and skilled nursing services to patients/families in the home setting. Minimum Qualifications Education Associate Degree in Nursing. Baccalaureate degree preferred. Experience Minimum two years of medical/surgical experience required. Knowledge and experience in the practice of community health nursing preferred. Licensure and/or Certification Current license as a professional nurse in Massachusetts required. BLS healthcare provider required Skills Basic nursing skills. Communication skills. Assessment skills. Critical thinking skills. Organizational skills. Computer skills. Ability to maintain confidential information. Ability to read, write and communicate in English. Excellent customer service skills required. Job Summary Reporting to the Nursing Supervisor, Home Care, this position provides for assessment, development of individualized care planning and goal setting, instruction to patient/family, and skilled nursing services to patients/families in the home setting. Minimum Qualifications Education Associate Degree in Nursing. Baccalaureate degree preferred. Experience Minimum two years of medical/surgical experience required. Knowledge and experience in the practice of community health nursing preferred. Licensure and/or Certification Current license as a professional nurse in Massachusetts required. BLS healthcare provider required Skills Basic nursing skills. Communication skills. Assessment skills. Critical thinking skills. Organizational skills. Computer skills. Ability to maintain confidential information. Ability to read, write and communicate in English. Excellent customer service skills required. 
