Assessment Nurse Case Manager
About The Position
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.
Requirements
- Graduate from an accredited school of nursing.
- Associate's degree required.
- Active, unrestricted license as a Registered Nurse in Massachusetts.
- 1+ years of clinical RN experience with complex medical, behavioral, and social co-morbidities.
- Ability to conduct assessments in-person and telehealth.
- Ability to work on interdisciplinary teams.
- Skill in screening social determinants of health.
- Strong communication and interviewing skills.
- Problem-solving skills and adaptability.
- Knowledge or willingness to learn regulatory requirements.
- Valid driver's license.
- Attestation to no disqualifiers per Driver Safety Policy.
- Possession of and proof of minimal state required auto insurance.
- Reliable transportation.
Nice To Haves
- Bachelor's or higher degree preferred.
- Certification in Case Management strongly desired, willingness to obtain when eligible.
- Home Health experience.
- OASIS/MDS experience.
- Medicare/Medicaid experience.
- Experience with face-to-face member interactions.
- Reliable home internet.
Responsibilities
- Conduct assessments in-person and telehealth.
- Work on interdisciplinary teams.
- Screen social determinants of health.
- Communicate and interview effectively.
- Problem-solve and adapt to changing situations.
- Learn and adhere to regulatory requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
