RN Jobs in Marlborough, MA
$95,000 - $100,000 / year
BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of Home Health Nurse Manager for our Marlborough, MA Medicare Certified home health office. This office provides best-in-class care to adult and geriatric clients. Details Location: Marlborough, MA. Schedule: Monday - Friday 8:30AM - 5PM. Competitive compensation package: Base Salary: $95,000-$100,000 / year depending on qualifications Bonus potential: quarterly bonus incentives depending on qualifications. BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave. Vision, dental and medical health plans. Employer paid life insurance, 401k with company match, direct deposit and employee assistance program. Field mileage reimbursement. As a Home Health Nurse Manager your day may look like this! Lead, inspire and motivate others to provide exceptional care. Work closely with the Rehab Manager (where applicable), Director, and DCO to ensure cohesive and consistent management of all field staff. Review all clinical documentation to ensure consistent, accurate, high-quality services. Work with other office team members to ensure that the most appropriate clinicians are assigned to each client. Ensure development, implementation and updates to the client’s individualized plan of care based on continual assessment of the client. Coordinate client care, referrals and act as internal case manager and client advocate. Communicate and collaborate with team members regarding client status, client and field employee assignments, care plan and expected outcomes. Participate in the hiring of field staff and interview process, as applicable. Represent BAYADA in community and marketing activities, including visits to physician offices and facilities. If you’re a Registered Nurse (RN) with the following skills, this could be your dream job! 2 or more years of experience as an RN in Home Health. 2 or more years of experience in a leadership/ supervisory role. Excellent organization and communication skills. Desire to lead, inspire, and motivate others. Strong knowledge of home health policies and procedures. As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. 
$62,700 - $100,400 / year
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members, as well as monitoring the delivery of healthcare services. Essential Functions: Complete prospective, concurrent and retrospective review such as acute inpatient admissions, post-acute admissions, elective inpatient admissions, outpatient procedures, homecare services and durable medical equipment Identify, document, communicate, and coordinate care, engaging collaborative care partners to facilitate transitions to an appropriate level of care Engage with medical director when additional clinical expertise if needed Maintain knowledge of state and federal regulations governing CareSource, State Contracts and Provider Agreements, benefits, and accreditation standards Identify and refer quality issues to Quality Improvement Identify and refer appropriate members for Care Management Provide guidance to non-clinical staff Provide guidance and support to LPN clinical staff as appropriate Attend medical advisement and State Hearing meetings, as requested Assist Team Leader with special projects or research, as requested Perform any other job related duties as requested. Education and Experience: Associates of Science (A.S) Completion of an accredited registered nursing (RN) degree program required Three (3) years clinical experience required Med/surgical, emergency acute clinical care or home health experience preferred Utilization Management/Utilization Review experience preferred Medicaid/Medicare/Commercial experience preferred Competencies, Knowledge and Skills: Proficient data entry skills and ability to navigate clinical platforms successfully Working knowledge of Microsoft Outlook, Word, and Excel Effective oral and written communication skills Ability to work independently and within a team environment Attention to detail Proper grammar usage and phone etiquette Time management and prioritization skills Customer service oriented Decision making/problem solving skills Strong organizational skills Change resiliency Licensure and Certification: Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required MCG Certification or must be obtained within six (6) months of hire required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Travel is not typically required Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. 
