RN Jobs in Medford, MA

Director of Nursing (DON)

apartment Marquis Health Consulting Services location_onSaugus, MA

$130,000 - $180,000 / year

Marquis Health Consulting Services is providing services in over one hundred skilled nursing and ALFs throughout the US. We are growing in MA! Looking to hire an experienced DON for the new facilities we will be servicing in MA. Join a company that admires, cares, appreciates, and values its employees! We offer many exciting benefits: Salary $130,000-$180,000 based on experience Health, Vision, and Dental Benefits 401k Matching Employee Engagement/Culture Committee Company Sponsored Life Insurance To join this team, please have the following requirements: COVID Vaccination Required Must possess valid unencumbered, RN State License. A nursing degree from an accredited college or university is preferred. Minimum three (3) years of clinical nursing experience within a hospital, nursing care center, or another related healthcare setting. Must have experience in supervision and principles, the practice of teaching, etc. Experience in rehabilitative and restorative nursing practices is strongly preferred. Strong communication skills with the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Responsibilities : Develop and implement the written staffing plan that reflects the needs of the department. Performs rounds to monitor and evaluate the quality of nursing care Develop and maintain positive relationships with residents, family members, staff, and the medical team Work in partnership with the Administrator to ensure quality, person-centered care Develop, manage, and evaluate department policies and procedures by current rules and regulations Range: $120k-200k / per year INDMHC #LI-JG1

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Part-time

Infection Control RN part time

apartment Alliance Health at Marina Bay location_onQuincy, MA

Responsible for oversight of compliance with performance improvement standards associated with regulatory and accrediting bodies. Incorporates Alliance’s mission in guiding all departments in Measuring Performance through data collection, assessing current performance improvement and development of improvement processes. Systemically aggregates and analyzes data. Reviews undesired patterns or trends in performance. Ensures that analyzed information is used to make changes in improvement process and performance measures are used to determine whether changes result in desired outcomes. Also includes an education element and is responsible for the coordination, planning and direction of all facility education and training programs. Programs include but are not limited to, orientation and professional development consistent with the goals of the organization. Part time position, 24 hrs per week

RN

Full-time

Registered Nurse Sign on Bonus

apartment DaVita Kidney Care location_onSudbury, MA

Posting Date 12/29/2026 2800 N Loop WestSte 800, Houston, Texas, 77092-8838, United States of America DaVita is seeking a Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various clinics during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holiday What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. Oversee a group of patients with the support of PCTs to conduct patient observations, measuring stats and machine set up. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (B.S.N); three-year diploma from accredited diploma program may be substituted for nursing degree You might also have experience in the following that can be helpful but not required Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-ER2 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

RN

MDS

Full-time

MDS Coordinator

apartment Healthcare Nursing Center location_onWatertown, MA

Come Join our Amazing Team!! We are a dedicated skilled nursing facility committed to providing exceptional care for our residents. We are seeking a detail-oriented and experienced MDS Coordinator to join our interdisciplinary team. Requirements: Licensed Massachusetts RN or LPN Minimum 1 year of experience as an MDS Coordinator (MDS experience required) Strong communication, organizational, and assessment skills Knowledge of Medicare coverage, PPS, and OBRA regulations Responsibilities: Oversee and facilitate resident assessments in accordance with Federal and State regulations Establish and manage assessment schedules to ensure accurate and timely completion Transmit assessments to the State of Massachusetts, Department of Health Coordinate resident care plans in compliance with regulatory requirements Initiate Medicare coverage for newly qualified residents and issue denial letters when necessary Stay updated on Medicare changes and determine required documentation for reimbursement Coordinate, plan, implement, and evaluate resident care following the MDS process Facilitate care conferences with the interdisciplinary team Complete and review Minimum Data Sets (MDS) Educate and train nursing staff and other departments on MDS processes and documentation Ensure all current MDS/PPS updates are implemented and staff are in-serviced Cross-train between PPS and OBRA processes Conduct regular resident interviews as required by MDS Why Join Us: Supportive, collaborative work environment Opportunity to make a meaningful impact on resident care Competitive compensation and professional development opportunities

RN

Home Health

Full-time

Registered Nurse, Home Health

apartment AccentCare, Inc. location_onNorfolk, MA

Overview RN / Registered Nurse, Home Health Location: Norwood, MA-Office Location Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Norfolk, Wrentham, Franklin, Bellingham, MA and surrounding areas Find Your Passion and Purpose as an Registered Nurse, Home Health Case Manager Salary: $99000 - $115000 / year This position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation. Schedule: Full Time Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best RN Case Manager You Can Be If you meet these qualifications, we want to meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. One (1) year experience as a RN. Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

RN

ICU

Full-time

Critical Care Float Pool Nurse - Weekend Evening/Nights - Faulkner

apartment Mass General Brigham location_onBoston, MA

Site: Brigham and Women's Faulkner Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Schedule: 36 Evening/Nights - Part of our Weekend Incentive Program (WIP) WIP Nurses commit to work at least two (2) twelve (12) hour weekend shifts for three (3) out of (4) weekends during a four (4) week schedule block will receive a WIP differential of $9.00 per hour for all hours worked on the weekend. This differential is in addition to any shift differential to which the nurse may otherwise be eligible for the particular shift worked. Job Summary This is a Critical Care RN role and is responsible to respond to emergencies in the any department. This role acts as the lead for all patient care emergency responses including but not limited to Rapid Response, Code Blue, Code Stroke, and out-patient Code Blue calls. The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The registered nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor. The Staff Nurse will also assure the practice of the Patient and Family Centered Care Model in an environment that exemplifies best practice. Qualifications BSN is required. Current licensure in Massachusetts as a registered nurse is required. Minimum of 3-4 years of ICU Experience is preferred BLS certification required. ACLS certification required or must obtain ACLS by the end of orientation. Adheres to all I C.A.R.E. standards. Must show evidence of the basic analytic thinking necessary to care for a group of patients. Demonstrate observational skills and the ability to set priorities. Ability to function under stress with good interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, team work, communication, respect for others, and time/priority management. Additional Job Details (if applicable) About Brigham and Women's Faulkner Hospital Brigham and Women's Faulkner Hospital is a 171- bed non-profit, community teaching hospital located in Jamaica Plain directly across the street from the Arnold Arboretum. Founded in 1900, Brigham and Women's Faulkner Hospital offers comprehensive care in a wide variety of specialties. Brigham and Women’s Faulkner Hospital is a designated Magnet hospital by the American Nurses Credentialing Center, a recognition that fewer than nine percent of all US hospitals receive. At Brigham and Women’s Faulkner Hospital, we believe that everyone should have the chance to live a healthy life. From creating breakthroughs that have paved the way for treatments around the globe to training the next generation of providers, our patients, and those we may never meet, are at the center of everything we do. If you’re looking for more than a career, join Brigham and Women’s Faulkner Hospital. Our patients call it better care. Our employees call it home. Remote Type Onsite Work Location 1153 Centre Street Scheduled Weekly Hours 36 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $41.36 - $100.00/Hourly Grade RN3500 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 2810 Brigham and Women's Faulkner Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

RN

Telemetry

Full-time

Registered Nurse (RN) - Medical /telemetry/Stroke 36 hour/week 7a-7:30p

apartment Emerson Hospital location_onConcord, MA

Registered Nurse – Medical, Telemetry & Stroke Unit About The Role Join a team where your expertise, compassion, and quick thinking truly make a difference. As a Registered Nurse in our Medical, High-Level Telemetry, and Stroke Department, you’ll provide comprehensive, patient-centered care in a dynamic environment. This is a unit where every detail matters from monitoring complex conditions to providing education and support for patients and families. Reporting to nursing leadership, you’ll be part of a highly skilled team committed to safety, collaboration, and excellence. What You’ll Do Deliver safe, age-appropriate, and high-quality nursing care using the full nursing process. Assess, plan, implement, and evaluate individualized care plans for patients and families. Monitor telemetry patients and provide critical interventions for stroke and complex medical cases. Collaborate with physicians and interdisciplinary teams to coordinate effective patient care. Educate patients and families to promote understanding and confidence in recovery. Document findings, interventions, and outcomes clearly and accurately. Mentor and support colleagues through teamwork, preceptorship, and professional growth. Participate in continuing education, hospital initiatives, and unit projects that advance patient care. Promote patient rights, dignity, and respect at every step. What You Bring Graduate of an accredited nursing program (BSN preferred). Current Massachusetts RN license. BLS certification required. 1–2 years inpatient medical-surgical experience preferred. Oncology certification preferred. Strong communication, assessment, and critical thinking skills. Excellent organizational skills and customer service. Comfort with computer systems and commitment to confidentiality. Why You’ll Love It Here Working in the Medical, Telemetry, and Stroke Unit means being at the heart of acute care nursing. You’ll gain invaluable experience managing complex patients, while being supported by a collaborative, multidisciplinary team. Here, your role goes beyond providing care you’ll be an advocate, an educator, and a trusted partner to patients and families during some of their most vulnerable moments. Bring your skills, compassion, and commitment to excellence to a team where you’ll grow as a nurse and make a real impact every day. Apply today!

RN

Full-time

Registered Nurse / Patient Care Manager HH Regional Floater

apartment AccentCare, Inc. location_onNorwood, MA

Overview Registered Nurse Patient Care Manager Regional Floater Location: Norwood, MA Position: Registered Nurse / Patient Care Manager Regional Floater Position Type: Full-Time Travel required to Norwood, Methuen, and Fall River, MA Home Health experience with OASIS experience required Find Your Passion and Purpose as a Full-Time Licensed Patient Care Manager Regional Floater Salary: $90,000 - $110,000 Schedule: M-F Offer Based on Years of Experience What You Need to Know Reimagine Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Patient Care Manager Regional Floater You Can Be If you meet these qualifications, we want to meet you! Previous experience in home care setting with two years management or supervisory experience, preferred. Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements Required Certifications and Licensures: Registered nurse with current licensure to practice nursing in the practicing state. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

RN

Other

Nurse Case Manager - Senior Care Options - Lowell - Khmer Preferred

apartment Fallon Health location_onLowell, MA

Overview This position covers Chelmsford/North Chelmsford/Lowell. 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

RN

Full-time

Registered Nurse

apartment Beth Israel Lahey Health location_onCambridge, MA

$32.24 - $55.29 / hour

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. REGISTERED NURSE,MPS Job Description: Principal Duties and Responsibilities 1. Act in compliance with nursing philosophy, practice standards, and qualifications. 2. Collaborates with physicians and midlevel providers in providing direct healthcare to patients. Evaluates client outcomes and condition changes. 3. Communicates and documents teaching and follow-up care with patients. Documents patients’ understanding of plan/instructions. 4. Communicates pertinent patient information and findings to providers, associate nursing peers, and other caregivers in a timely manner. 5. Triages telephone inquiries, reviews lab results and diagnosis testing, and assures written patient notification of test results, missed appointments, and abnormal study follow-up when appropriate. Arranges referrals to ancillary services. 6. Demonstrates competency in office including testing, phlebotomy, and assists physician/midlevel provider with procedures. 7. Maintains and supervises the integrity of departmental logs. 8. Reviews and comprehends Department of Public Heath and Welfare information and recommendations for prophylaxis, treatment, and reporting of communicable diseases. Completes informational forms such as premarital and WIC. Recognizes signs and symptoms of child and domestic abuse and reports accurately. 9. Maintains stock of client education materials. Reviews new material available. Organizational Responsibilities 1. Follows hospital and departmental policies with special attention to safety, dress, attendance and punctuality, and display of ID badge. Subscribes to hospital’s mission statement, code of ethics, and standard of conduct. 2. Handles all work-related information in a confidential manner, as outlined in Confidentiality Policy B.91. Recognizes and respects each patient’s rights to privacy, and understands that this is protected by statue. Understands that looking up patient information not needed for job duties is prohibited and is grounds for immediate dismissal. 3. Treats customers with courtesy and compassion and responds to requests in a timely manner. 4. Works effectively with members of the team so that they meet constantly changing needs and deliver care that is customer oriented and cost effective. 5. Demonstrates initiative and creativity to continuously improve services, departmental and interdepartmental processes, and any other activities that affect quality. 6. Plans organizes and renders care for neonate, pediatric, adolescent, and geriatric patients within an assigned area 7. Performs work responsibilities while staying in compliance with all applicable laws, rules, and regulations. Understands and agrees to uphold the Hospital Compliance Plan. Patient Safety 1. When taking a telephone order, writes the order on the Doctor’s Orders, reads the order back to the MD and document as a TORB. 2. When taking a verbal order, repeats the order back to the MD prior to implementing the order and documents as a VORB. 3. Uses only accepted abbreviations when documenting in the medical record. 4. Uses two unique patient identifiers prior to treatment or patient transport. 5. Consistently uses sharps devices as designed to prevent injury. 6. Complies with Isolation Guidelines; wears appropriate personal protective equipment as required by specific patient precautions. 7. Consistently complies with CDC Handwashing Guidelines. Cleans hands before and after patient contact, or contact with patient environment. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED 1. Knowledge of nursing process, theories, and clinical expertise related to patient care, normally acquired through the completion of a nursing training program at an NLN accredited school of nursing. 2. Current registration in the Commonwealth of Massachusetts. 3. Interpersonal skills to interact with patients, families, and a multidisciplinary team of healthcare personnel to resolve complex problems. 4. Able to acquire, through training programs and continuing education, technical knowledge related to the area. WORKING CONDITIONS 1. Standard office environment. 2. Exposure to infectious diseases, chemicals, and other toxic agents. 3. Computer skills required. Pay Range: $32.24 - $55.29 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

RN

Full-time

REGISTERED NURSE MPS

apartment Beth Israel Lahey Health location_onLexington, MA

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. REGISTERED NURSE,MPS Job Description: Principal Duties and Responsibilities 1. Act in compliance with nursing philosophy, practice standards, and qualifications. 2. Collaborates with physicians and midlevel providers in providing direct healthcare to patients. Evaluates client outcomes and condition changes. 3. Communicates and documents teaching and follow-up care with patients. Documents patients’ understanding of plan/instructions. 4. Communicates pertinent patient information and findings to providers, associate nursing peers, and other caregivers in a timely manner. 5. Triages telephone inquiries, reviews lab results and diagnosis testing, and assures written patient notification of test results, missed appointments, and abnormal study follow-up when appropriate. Arranges referrals to ancillary services. 6. Demonstrates competency in office including testing, phlebotomy, and assists physician/midlevel provider with procedures. 7. Maintains and supervises the integrity of departmental logs. 8. Reviews and comprehends Department of Public Heath and Welfare information and recommendations for prophylaxis, treatment, and reporting of communicable diseases. Completes informational forms such as premarital and WIC. Recognizes signs and symptoms of child and domestic abuse and reports accurately. 9. Maintains stock of client education materials. Reviews new material available. Organizational Responsibilities 1. Follows hospital and departmental policies with special attention to safety, dress, attendance and punctuality, and display of ID badge. Subscribes to hospital’s mission statement, code of ethics, and standard of conduct. 2. Handles all work-related information in a confidential manner, as outlined in Confidentiality Policy B.91. Recognizes and respects each patient’s rights to privacy, and understands that this is protected by statue. Understands that looking up patient information not needed for job duties is prohibited and is grounds for immediate dismissal. 3. Treats customers with courtesy and compassion and responds to requests in a timely manner. 4. Works effectively with members of the team so that they meet constantly changing needs and deliver care that is customer oriented and cost effective. 5. Demonstrates initiative and creativity to continuously improve services, departmental and interdepartmental processes, and any other activities that affect quality. 6. Plans organizes and renders care for neonate, pediatric, adolescent, and geriatric patients within an assigned area 7. Performs work responsibilities while staying in compliance with all applicable laws, rules, and regulations. Understands and agrees to uphold the Hospital Compliance Plan. Patient Safety 1. When taking a telephone order, writes the order on the Doctor’s Orders, reads the order back to the MD and document as a TORB. 2. When taking a verbal order, repeats the order back to the MD prior to implementing the order and documents as a VORB. 3. Uses only accepted abbreviations when documenting in the medical record. 4. Uses two unique patient identifiers prior to treatment or patient transport. 5. Consistently uses sharps devices as designed to prevent injury. 6. Complies with Isolation Guidelines; wears appropriate personal protective equipment as required by specific patient precautions. 7. Consistently complies with CDC Handwashing Guidelines. Cleans hands before and after patient contact, or contact with patient environment. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED 1. Knowledge of nursing process, theories, and clinical expertise related to patient care, normally acquired through the completion of a nursing training program at an NLN accredited school of nursing. 2. Current registration in the Commonwealth of Massachusetts. 3. Interpersonal skills to interact with patients, families, and a multidisciplinary team of healthcare personnel to resolve complex problems. 4. Able to acquire, through training programs and continuing education, technical knowledge related to the area. WORKING CONDITIONS 1. Standard office environment. 2. Exposure to infectious diseases, chemicals, and other toxic agents. 3. Computer skills required. Pay Range: $32.24 - $55.29 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

RN

Other

Nurse Case Manager - Senior Care Options - Chelmsford - Khmer Preferred

apartment Fallon Health location_onLowell, MA

Overview This position covers Chelmsford/North Chelmsford/Lowell. 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. #P02

RN

Other

Nurse Case Manager - Senior Care Options - Boston

apartment Fallon Health location_onDowntown, MA

Overview This position covers Boston/Suffolk County plus surrounding Middlesex County including Allston, Ashland, Auburndale, Babson Park, Belmont, Boston/East Boston, Brighton, Brookline, Brookline Village, Cambridge, Charlestown, Chestnut Hill, Dover, Framingham, Hyde Park, Jamaica Plain, Mattapan, Natick, Needham, Needham Heights, Newton, Newtonville, Nonatum, North Waltham, Waltham, Readville, Roslindale, Sherborn, Somerville, Waban, Watertown, Waverley, Wayland, Wellesely, West Newton, West Roxbury and Weston. 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

RN

Med-Surg

Part-time

Registered Nurse, Med Surg unit, Nights, 24 hours

apartment UMass Memorial Health location_onMarlborough, MA

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $38.65 - $78.34 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Friday, Saturday Scheduled Hours: 1845-0715 Shift: 3 - Night Shift, 12.5 Hours (United States of America) Hours: 24 Cost Center: 21000 - 0226 Nursing 2 Union: MNA-Marlborough (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

RN

Manager/Supervisor

Full-time

Nursing Supervisor I Evenings

apartment Bostonian Skilled Nursing Home & Rehabilitation location_onMA

The Bostonian Nursing and Rehabilitation Center is seeking a Evening (3pm-11pm) Nursing Supervisor. The Bostonian, a not-for-profit organization, is a spacious, recently renovated 121-bed skilled nursing facility with a unique neighborhood setting conveniently located in metro Boston MA, accessible by public transportation. The Bostonian is a preferred post-acute provider for major acute care hospitals in the Boston area. We provide short term rehabilitation, long term care and respite care. Come join our team! Benefits for 3pm-11pm Nursing Supervisor: Health Insurance 403(b) Retirement Plan Referral Bonuses Tuition Reimbursement Shift Differentials Requirements for 3pm-11pm Nursing Supervisor: Must possess valid unencumbered, LPN or RN State License and current CPR certification Active Registered Nurse (RN) license in MA, preferred Nursing degree from an accredited college or university One year of clinical nursing experience within a hospital, nursing care center or other related healthcare setting. Must have experience in supervision and principles, practice of teaching, and computer skills. Experience in rehabilitative and restorative nursing practices strongly preferred. Bilingual proficiency preferred, but not required, to meet the needs of a beautifully diverse workforce and patient population Job Duties for 3pm-11pm Nursing Supervisor: Welcome new admissions and oversee discharges Supervise and mentor nurses and CNAs, to foster growth and learning in clinical team Manage staffing changes Support family inquiries and screen visitors Coordinate patient/resident referrals with central admissions Ensure high quality resident/patient care Provide support to ancillary staff as needed The Bostonian truly appreciates our employees and looks forward to welcoming our new Temporary 3PM-11PM Nursing Supervisor to our extended family! INDHP

RN

Manager/Supervisor

Full-time

Nursing Supervisor I Evenings

apartment Bostonian Skilled Nursing Home & Rehabilitation location_onBoston, MA

The Bostonian Nursing and Rehabilitation Center is seeking a Evening (3pm-11pm) Nursing Supervisor. The Bostonian, a not-for-profit organization, is a spacious, recently renovated 121-bed skilled nursing facility with a unique neighborhood setting conveniently located in metro Boston MA, accessible by public transportation. The Bostonian is a preferred post-acute provider for major acute care hospitals in the Boston area. We provide short term rehabilitation, long term care and respite care. Come join our team! Benefits for 3pm-11pm Nursing Supervisor: Health Insurance 403(b) Retirement Plan Referral Bonuses Tuition Reimbursement Shift Differentials Requirements for 3pm-11pm Nursing Supervisor: Must possess valid unencumbered, LPN or RN State License and current CPR certificationActive Registered Nurse (RN) license in MA, preferred Nursing degree from an accredited college or university One year of clinical nursing experience within a hospital, nursing care center or other related healthcare setting. Must have experience in supervision and principles, practice of teaching, and computer skills. Experience in rehabilitative and restorative nursing practices strongly preferred. Bilingual proficiency preferred, but not required, to meet the needs of a beautifully diverse workforce and patient population Job Duties for 3pm-11pm Nursing Supervisor: Welcome new admissions and oversee discharges Supervise and mentor nurses and CNAs, to foster growth and learning in clinical team Manage staffing changes Support family inquiries and screen visitors Coordinate patient/resident referrals with central admissions Ensure high quality resident/patient care Provide support to ancillary staff as needed The Bostonian truly appreciates our employees and looks forward to welcoming our new Temporary 3PM-11PM Nursing Supervisor to our extended family! INDHP

RN

Manager/Supervisor

Full-time

Nursing Supervisor I Evenings

apartment Bostonian Skilled Nursing Home & Rehabilitation location_onBoston, MA

The Bostonian Nursing and Rehabilitation Center is seeking a Evening (3pm-11pm) Nursing Supervisor. The Bostonian, a not-for-profit organization, is a spacious, recently renovated 121-bed skilled nursing facility with a unique neighborhood setting conveniently located in metro Boston MA, accessible by public transportation. The Bostonian is a preferred post-acute provider for major acute care hospitals in the Boston area. We provide short term rehabilitation, long term care and respite care. Come join our team! Benefits for 3pm-11pm Nursing Supervisor: Health Insurance 403(b) Retirement Plan Referral Bonuses Tuition Reimbursement Shift Differentials Requirements for 3pm-11pm Nursing Supervisor: Must possess valid unencumbered, LPN or RN State License and current CPR certificationActive Registered Nurse (RN) license in MA, preferred Nursing degree from an accredited college or university One year of clinical nursing experience within a hospital, nursing care center or other related healthcare setting. Must have experience in supervision and principles, practice of teaching, and computer skills. Experience in rehabilitative and restorative nursing practices strongly preferred. Bilingual proficiency preferred, but not required, to meet the needs of a beautifully diverse workforce and patient population Job Duties for 3pm-11pm Nursing Supervisor: Welcome new admissions and oversee discharges Supervise and mentor nurses and CNAs, to foster growth and learning in clinical team Manage staffing changes Support family inquiries and screen visitors Coordinate patient/resident referrals with central admissions Ensure high quality resident/patient care Provide support to ancillary staff as needed The Bostonian truly appreciates our employees and looks forward to welcoming our new Temporary 3PM-11PM Nursing Supervisor to our extended family! INDHP