Registered Nurse, Case Manager- Community Based (Per Diem)

VITRA Health•Springfield, MA

11d•Onsite

About The Position

VITRA Health is hiring, and we believe that our team is the key to our success. That is why we are looking for a Per Diem Registered Nurse to support our clients of Springfield and its surrounding areas which include Ware, Chicopee, Northampton, East Hampton, Holyoke, Westfield, Agawam, Huntington, and Deerfield. If you’re a passionate, caring, motivated professional who is looking to make a difference in your community, we encourage you to apply today! Vitra Health is a mission-driven healthcare services organization dedicated to strengthening families and communities by supporting caregivers and enabling individuals with disabilities or chronic medical needs to remain safely and comfortably in their homes. Through programs such as Adult Foster Care (AFC), Group Adult Foster Care (GAFC), and Adult Day Health, Vitra Health provides personalized care plans, financial support for caregivers, and culturally competent case management across Massachusetts. As a Registered Nurse, in addition to executing assessment and admission visits, you will provide nonclinical support, educating clients and caregivers. Areas will include health maintenance and preventative measures, assisting in healthcare management navigation and accessing community support. If you are someone passionate about advocating for your clients and facilitating the success of clients remaining safely in their homes, we encourage you to apply today!

Requirements

Willingness to travel within assigned region required.
Valid driver’s license and reliable transportation required.
Licensed as an RN by Massachusetts Board of Registration in Nursing, required.
Minimum of two-year recent experience in the direct care of elders or adults with disabilities.
Strong communication, documentation and organizational skills required.
Must be solution oriented and able to multitask.

Nice To Haves

Fluency in both English and second language strongly preferred.
Case management, behavioral health, social services and/or community health worker experience preferred.

Responsibilities

Complete intake and annual assessment and admission visits.
Complete all required documentation including client assessment forms and multidisciplinary plan of care and communicate professionally with client PCP and other healthcare providers when necessary.
Review all information in the client's admission binder, ensuring understanding as well as educating the caregiver on use of the MH required caregiver communication tool or electronic visit verification system depending on program participation.
Complete regular, in-home visits, caregiver education/skills training and assess health and environmental changes
Conduct semi-annual visits, reviewing and updating existing plan of care and corresponding goals, medication review and reconciliation and review caregiver communication tools.
Address concerns regarding environment, psychosocial status and changes in physical health.
Participate in multidisciplinary team meetings and work collaboratively to address client needs.
Perform other duties within the scope of practice as assigned by management.