CARE MANAGER (Licensed Nurse)

Berkshire Healthcare•Falmouth, MA

55d

About The Position

Come join this collaborative and innovated team. At Integritus Healthcare you will enjoy WEEKLY pay, generous time off, exceptional health insurance and the ability to grow in your career. Ready to love nursing again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered 'yes,' we can't wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why choose Integritus Healthcare: Competitive Compensation Employee Satisfaction Growth and Career Advancement Culture of Respect and Empowerment Cookouts and Luncheon's Celebrating Individuality Recognizing Excellence Position Summary The Affiliate Care Manager coordinates and manages the care of residents within their affiliate by overseeing internal and external team efforts to achieve outcomes aligned with organizational performance metrics. These include: 1. Improved outcomes: Length of stay (LOS), ACO value metrics, quality performance, rehospitalizations, communication, and collaborative care management during the short-term rehabilitation (STR) stay, skilled benefit utilization, and post-transition outcomes. 2. Managed care alignment: Compliance with managed care contract requirements to ensure accurate reimbursement, appropriate LOS, quality performance, and effective communication and coordination during the skilled stay and post-discharge. 3. The Care Manager collaborates with internal teams and external providers from admission through 30 days post-skilled stay to ensure a smooth transition to the next level of care. They ensure that post-acute providers have the necessary information to continue providing high-quality care. 4. For residents not returning home, the Care Manager transitions the patient back to the affiliate's routine census, promoting success through education and coordination with both the patient and the affiliate team. 5. Additional responsibilities include data tracking, relationship-building with external programs, staff education, and coordinating efforts based on external drivers.

Requirements

Must hold an active Massachusetts RN or LPN license (RN preferred).
Experience in acute care, long-term care, and/or short-term rehabilitation required.

Responsibilities

Coordinates and manages the care of residents within their affiliate
Oversees internal and external team efforts to achieve outcomes aligned with organizational performance metrics
Collaborates with internal teams and external providers from admission through 30 days post-skilled stay to ensure a smooth transition to the next level of care
Transitions the patient back to the affiliate's routine census
Data tracking
Relationship-building with external programs
Staff education
Coordinating efforts based on external drivers