Clinical Care Manager (RN)

Vinfen • Boston, MA

2h • $90,000 - $90,000

About The Position

The Clinical Care Manager - Registered Nurse (RN) on the Community Partner team
provides clinical care management and intensive care coordination for people
with complex medical and behavioral health needs. The RN will act as a Clinical
Care Manager and is a vital member of the Community Partner Care Team which
includes licensed behavioral health clinicians, a care transitions manager,
community health workers and a team administrator. The RN is supervised by the
Care Team Leader and will learn about working on a community-based
interdisciplinary team, trauma/recovery skills, care transitions support,
behavioral health and substance use disorder services, and person-centered care
planning. The RN must be willing to visit enrollees in their homes throughout
the service area as well as work from our office.

Requirements

• A minimum of 3 years of clinical care management or case management experience preferred.
• Registered Nurse licensed in Massachusetts (BSN or MSN) in Massachusetts
• Effective skills in managing, teaching, negotiating, and collaborating with multidisciplinary teams and enrollee/family focus.
• Experience working with people living with mental illness or substance use disorders.
• Must be able to become CPR certified within two weeks of hire. Vinfen provides certification training upon hire.
• Must be able to successfully pass a CORI, reference, professional license and multi-state background check.

Nice To Haves

• Preference given to bi-lingual/bi-cultural applicants and applicants with lived experience of psychiatric conditions.

Responsibilities

• Conduct comprehensive assessment of enrollees including the medical, psychiatric and social components.
• Review/sign off on medical component of comprehensive assessment
• Monitor enrollee's health status and needs and provide nursing and medical care coordination, including revising health related treatment goals and plans in collaboration with the enrollee and the Care Team.
• Coordinate the development, implementation, and ongoing review of the care plan.
• Conduct medication reviews and reconciliation including adjustment by protocol.
• Communicate and collaborate with ACO teams and serve as a team resource.
• Follow up of an enrollee's inpatient stay, (including hospital, shelter, substance abuse programs, SNF), and collaborate with enrollee, Care Team, and hospital staff to coordinate transitions of care.
• Collaborate and communicate with the enrollee's other medical, behavioral health and home-based providers regarding changes in services, hospitalizations, and other care needs and goals
• Obtain required Prior Authorization from Managed Care Plan (ACOs, MCOs) for relevant and necessary services.
• Perform other related duties, as assigned.

Benefits

• A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan
• First-rate Medical, Dental and Vision plans that are open to all employees scheduled to work 30 hours per week or more. Plus, we offer a generous employer contribution toward the cost of medical insurance!
• Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance
• Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance
• Flexible Spending Accounts (Health and Dependent care)
• Voluntary Term, Whole Life, Accident and Critical Care Insurance
• Generous paid time off (Employees scheduled to work 20 hours or more per week): 15 days of Vacation per year 12 Paid Holidays 10 Sick Days per year 3 Personal days per year Educational Assistance and Tuition Remission Programs $500 Employee Referral Bonus with no annual cap! Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level