Registered Nurse - Care Coordination

Seven Hills Foundation • Worcester, MA

89d • $33

About The Position

The RN is responsible for reviewing the information with the Enrollees, gathered in the comprehensive assessment; reviewing the Enrollee’s care plan; conducting medication reviews and providing oversight of LPN (not more than two) staff employed by MCCN; meeting weekly with each LPN to review difficult cases; providing specialty Care Coordination with other medical providers; and being available for both telephonic and in-person consultations for acute changes of status in enrollees.

Requirements

• Registered Nurse licensed in the Commonwealth of Massachusetts
• Minimum of 4 years of experience working with adults in a community-based mental health, substance use and/or physical health setting
• Demonstrated knowledge base and judgment necessary for independent clinical decision making
• Excellent verbal and written communications skills
• Strong interpersonal and customer relations skills
• Ability to use Electronic Health Records (EHR) Systems to document and coordinate services
• Excellent organizational, time management and problem-solving skills
• Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel
• Knowledge regarding psychiatric rehab and understanding of recovery model
• Must hold a valid drivers’ license and have access to an operational and insured vehicle
• Must have ability to read English and communicate effectively in the primary language of the program

Nice To Haves

• Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations

Responsibilities

• Provide medical consultation to MCCN team members regarding acute changes in Enrollees’ status
• Serve as liaison to and consult with the MCCN Medical Director
• Conduct medication reconciliations during comprehensive assessments and after inpatient, ED, or 24-hour setting discharges
• Coordinate with PCPs to verify discharge medications, address discrepancies, and promote adherence
• Educate Enrollees on proper medication administration and identify support systems to aid compliance
• Support Care Coordinators in ensuring access to appropriate medical and specialty care
• Review and complete medical sections of Enrollee assessments and collaborate on LTSS components
• Participate in interdisciplinary team meetings to promote effective communication
• Assist with staff orientation and training; provide coaching on medical conditions, risk factors, and CP team priorities
• Follow all MCCN policies, protocols, and evidence-based practices while assisting with staff training
• Apply a person-centered approach in planning and delivering care in coordination with Enrollees and their support systems
• Address medical risks and emergencies with appropriate interventions; develop medical protocols as needed
• Complete all documentation and reporting in a timely and compliant manner
• Maintain strong communication with staff, Enrollees, and care team members to foster collaboration
• Ensure adherence to HIPAA, agency policies, and performance standards
• Attend required trainings, staff meetings, and supervision; maintain all certifications and licenses
• Treat all clients with dignity and respect in alignment with MCCN’s Human Rights policy
• Perform all duties in accordance with agency standards and expectations

Benefits

• Health Insurance: Offered through Blue Cross Blue Shield, with generous company contribution
• Enhanced Retirement Plan: 25% - 33% Employer match based on tenure
• Student Loan Assistance: Consolidation, counseling, & limited employer contribution
• Discounted Tuition with College & University Partnerships
• Tuition Assistance: Reimbursed or prepaid college coursework
• Home Mortgage Initiative: Favorable down payment (3-5%), reduced closing costs co-paid by Seven Hills
• Generous Accrued Paid Vacation: 3 weeks in your first year
• Vacation Cash-Out Option
• 3 Paid Personal Days
• 11 Paid Holidays
• Accrued Paid Sick Time

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees