Per Diem Registered Nurse (RN)

Vinfen•Hyannis, MA

16h

About The Position

The Medical Per Diem RN (Integrated Care) provides support to the team function of care coordination and care management for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan. The Per Diem RN may be responsible for the follow responsibilities: Performs outreach to and engages Enrollees of an ACO plan as referred to Community Partners Program. Coordinates the completion of the Comprehensive Assessment (CA), including the approval of medical sections, as required of RN. Conducts initial and ongoing risk assessment; designs personal crisis management plans, relapse prevention, and harm reduction strategies with members who have been identified as medically complex, in collaboration with team. Coordinates the development, implementation, and ongoing review of the Person-Centered Treatment Plan (PCTP), inclusive of any LTSS and / or SDH needs or goals of the Enrollee. Collaborates closely with PCP and other providers to assure appropriate referrals based on level of care needed to optimize health outcomes and minimize risk. Collaborates with ACO Plan, PCP, and other health care providers regarding changes in services, care transitions, and crisis intervention while focusing on continuity and quality of client care. Obtains required Prior Authorization from ACO/MCO Plan for relevant/necessary services. Manages care transitions through collaboration with Enrollee, community provider staff, ICT, and hospital staff to ensure a safe discharge plan and a well-coordinated implementation of that plan. Ensures for medication review and reconciliation as triggered by a care transition or by a medication change through an outpatient medical or psychiatric visit. Performs other related duties, as required. Response to Covid-19 Vinfen continues to follow the guidelines determined by the Centers for Disease Control and Prevention, the Massachusetts Department of Public Health, and the Connecticut Department of Public Health. Vinfen leadership along with Vinfen's medical staff are closely monitoring the pandemic on a daily basis and make decisions that are best for the safety and well-being of the Vinfen community. Our response to promote safety during the coronavirus includes: Hiring process conducted via virtual and phone interviews Virtual New Employee Orientation and Virtual training Increased sanitation measures in all programs and group homes PPE provided to all positions working closely with others Restricting visitors in programs to reduce chances of exposure Keywords: RN, Registered Nurse, Nurse, Community partners, Health care, care coordination, remote, telehealth services, VinfenRN, VinfenPD, VinfenIC, Care coordinator, Patient Navigator, Community Health Advocate, Health Coach, Care Partner, Health equity, Social determinants of health VinfenPDDC Responsibilities About Vinfen Why Vinfen? We are committed to you! We offer great training, great benefits, career growth and job security! Our comprehensive and generous benefits package includes: 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 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 (no cost to you!) Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance Flexible Spending Reimbursement 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 11 Paid Holidays 10 Sick Days per year 3 Personal Days per year Educational Assistance and Remission Programs $500 Employee Referral Bonus with no annual cap! Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more! About Us: Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,500 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in over 550 sites throughout Massachusetts and Connecticut. For more information about Vinfen, please visit www.vinfen.org/careers . My Job. My Community. My Vinfen. Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Requirements

Valid Registered Nurse in Massachusetts required.
An Associate's degree in Nursing is required; Bachelor's degree in Nursing strongly preferred.
A valid driver's license must be presented at the time of employment.
Incumbents must be at least 21 years of age, have maintained a valid US driver's license for at least 6 months, and must be able to pass a driver's screening background check.
Must become CPR within 2 weeks of employment. Trainings offered by Vinfen upon hire.
Must be able to successfully pass a CORI, employment verification and reference, multi-state background, professional licensure and driving record check.

Nice To Haves

Prior experience working with people with disabilities is preferred.

Responsibilities

Performs outreach to and engages Enrollees of an ACO plan as referred to Community Partners Program.
Coordinates the completion of the Comprehensive Assessment (CA), including the approval of medical sections, as required of RN.
Conducts initial and ongoing risk assessment; designs personal crisis management plans, relapse prevention, and harm reduction strategies with members who have been identified as medically complex, in collaboration with team.
Coordinates the development, implementation, and ongoing review of the Person-Centered Treatment Plan (PCTP), inclusive of any LTSS and / or SDH needs or goals of the Enrollee.
Collaborates closely with PCP and other providers to assure appropriate referrals based on level of care needed to optimize health outcomes and minimize risk.
Collaborates with ACO Plan, PCP, and other health care providers regarding changes in services, care transitions, and crisis intervention while focusing on continuity and quality of client care.
Obtains required Prior Authorization from ACO/MCO Plan for relevant/necessary services.
Manages care transitions through collaboration with Enrollee, community provider staff, ICT, and hospital staff to ensure a safe discharge plan and a well-coordinated implementation of that plan.
Ensures for medication review and reconciliation as triggered by a care transition or by a medication change through an outpatient medical or psychiatric visit.
Performs other related duties, as required.

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 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 (no cost to you!)
Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance
Flexible Spending Reimbursement 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 11 Paid Holidays 10 Sick Days per year 3 Personal Days per year
Educational Assistance and Remission Programs
$500 Employee Referral Bonus with no annual cap!
Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more!