Home Health Registered Nurse

$86,767 - $130,151 / year

$10,000 Sign-On Bonus for External Candidates

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.

Primary Responsibilities:

Clinical Competence
- Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
- Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
- Provides required supervisory visits
Documentation and Care Delivery
- Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
- Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
- Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
Quality
- Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
- Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
- Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
Teamwork
- Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
- Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
- Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
- Participates in on-call and weekend rotation as needed to meet patient needs
- Adheres to and participates in the agency's utilization management model
Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted RN licensure in state of practice
Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation

Preferred Qualifications:

Current CPR Certification or ability to complete within 90 days of hire
1+ years of Home Health experience
Ability to work independently
Solid communication, writing, and organizational skills

Pay Range
$86,767 - $130,151 annual total cash target pay
$50.06 - $75.09 per visit point
$41.71 - $62.57 hourly rate

Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of 'direct' and 'indirect' patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Share this job

Related Jobs

Home Health

Per Diem

Registered Nurse (RN)

IntelyCare Lawrence, MA

$54 - $61 / hour

Earn as much as $61 an hour as a Registered Nurse (RN) in Lawrence, MA and the wider region with a fully flexible schedule and the stability of a W2 job. At IntelyCare, fully flexible means that you alone get to decide when, where, and how often you work. With our all-in-one app you can easily find the most convenient shifts at any of our partner facilities, but also leave time off whenever you like. Even more, as a W2 employee, you also get the benefits and supportive team that only an employer can provide. As a nurse-founded company, our mission is to give hard-working nurse professionals like you the work-life balance you deserve. That's why we built it right into our business model — and we're not looking back. If you're ready to leave behind the days of inflexible schedules, mandatory overtime, and denied time off requests, then we have a team for you. When you get to set your own work-life balance on any given day, you have more time to enjoy the Lawtown Fest at Veterans Memorial Stadium, morning dog walks along the Merrimack River, or that weeklong getaway to Ipswich Bay that you've had to put on hold. Get more control over your work — and your life — by joining our team today. Find out more below. Benefits RN hourly rate between $54 and $61 Get paid rates that are up to 25% higher on average, with weekly and daily pay options Opportunities for overtime as well as boosted rates for holidays Quickly find shifts in all states where you're authorized to practice Set your own schedule by selecting only your preferred shifts at any of our partner facilities Choose from weekday/weekend shifts, day/evening/overnight shifts, and more 401k retirement plan Upskilling opportunities with a dedicated team of quality assurance nursing professionals Eligibility for medical, dental, and vision insurance for you and qualifying family members Employer tax withholding each pay period Employer coverage for workers' comp and malpractice insurance Undergraduate and graduate tuition discounts at Excelsior University (up to 34%) Manage your shifts and access workplace perks like free continuing education courses through an all-in-one app At IntelyCare we don't just offer a great job, but also a supportive community that will help you meet your personal and professional goals. Want to know what that feels like? Here's how some of your colleagues have described their IntelyCare experience: "I have worked with other agencies in the past, so I am very familiar with agency employment. IntelyCare has been the best one so far because the app is easy to use, I have constant support from my team, and the pay is better." "Thanks to this job, I can plan things with my family and homeschool my children with no stress. It has also allowed me to afford my expenses and provide for my family." "This job has so much more to offer than decent pay. The flexibility and large choice of facilities to work for is amazing. I am a single mom, and I hated missing out on sports events, holidays, and special moments due to regular schedules. IntelyCare has made it possible for me to enjoy my life, kids, and career." "IntelyCare is amazing in every way! They are very supportive — the customer service agents are there for you 24/7. It makes it so much easier walking into your shift knowing that your job has your back like that." Job Responsibilities Providing resident-focused, high-quality care while working as a RN in post-acute facilities Developing individualized care plans for residents in coordination with the wider medical team Reviewing care options with clinicians, nursing staff, residents, and their family members Setting up and using medical equipment and devices as needed for effective care Administering medications and providing treatments to residents consistent with their care plan Measuring and monitoring resident vital signs and drawing fluids as needed for labs and testing Ensuring accurate documentation of relevant information such as interventions and responses, vital signs, and resident medical histories Training and supervising nursing professionals and support staff as needed, consistent with scope of practice limitations Supporting staff with incident investigations and reporting Being accountable to follow and adhere to resident care plans Delivering care consistent with all applicable laws, policies, and standards of care Qualifications and Skills Current Massachusetts state license to practice as a Registered Nurse (RN) Successful completion of an approved nursing program Minimum of 6 months of experience ( RN or related role) Advanced skills in multitasking, organization, and communication Ability to lift a minimum of 50 lbs Find Real Work-Life Balance With IntelyCare If you're ready to finally have a career and a full life to go with it, then your search for Registered Nurse (RN) jobs brought you to the right place. Take the next step in your career — and your life — by applying to the team ranked #1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Lawrence, Massachusetts 01840

Home Infusion RN

CureCare Lowell, MA

$45 - $58 / hour

To continue with your application, please complete a brief survey (approximately 5–7 minutes). For best results, we recommend copying and pasting the link into a separate browser. CureCare Are you looking for something new? Have you been spending long hours on your feet, rushing from patient to patient with no time to provide quality care? It's time for a change. Join CureCare, a trusted home infusion nursing provider that has been serving patients across the Northeast for over a decade. At CureCare, we value your expertise and offer a supportive work environment that allows you to make a meaningful difference in patients' lives. CureCare is searching for hardworking RNs to join our team of dedicated Home Infusion nurses. As a Home Infusion RN, you will have the opportunity to provide infusion therapy and nursing services to patients in the comfort of their own homes, ensuring the highest quality of care and patient satisfaction. With CureCare, you'll have a great deal of flexibility in your per diem role, and employees working an average of 32+ hours or more per week, consecutively for 3 months, are eligible for full-time benefits. Our nurses are expected to have at least 20 hours of availability per month to see patients. This position will require you to build your book of business; no hours are guaranteed.* Step away from the hectic pace of traditional nursing and experience the rewarding work of providing personalized care in a home setting. Join us at CureCare to experience a fulfilling work environment and make a difference in patients’ lives. Don't miss this opportunity to enhance your nursing career with a company that values your expertise and focuses on patient-centered care. Hourly Pay Range: Pay is based on experience. Responsibilities: CureCare’s nursing team provides best-in-class clinical care. As a member of the nursing team, you will: • Build rapport with patients, provide infusion therapy, education, and monitoring. • Establish and maintain vascular access devices as prescribed. • Administer medications, assess for side effects. • Maintain knowledge of infusion therapies. • Assess patient appropriateness for home infusion. • Document patient history and clinical information. • Provide skilled care as ordered. • Communicate patient response to care promptly. Why CureCare: Join CureCare as an infusion nurse and enjoy the perks: • Flexible work schedules • Reimbursement for travel expenses based on the IRS standard mileage rate • Digital nurse documentation • Incentivized nurse referral program • Convenient access to infusion materials, delivered directly to patients' homes • Supported by both CureCare's Clinical and Corporate Teams Qualifications: • Active and unrestricted RN licensure in state(s) of practice • Valid Driver’s License and ability to commute to patient’s house • Minimum 2+ years of general Infusion Experience in clinical care setting (e.g. medical surgical unit, emergency department, intensive care unit) • Ability to work independently in home • Able to complete nursing documentation using electronic medical record documentation • Proficient with peripheral IV insertion • Current CPR Certification • Covid vaccination preferred, but not mandatory • Home Infusion experience preferred

Home Health

1 week ago

Clinical Coordinator Registered Nurse, RN

Tufts Medicine Lowell, MA

$87,360 - $98,603.60 / year

JOB DESCRIPTION Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience. Works independently with general supervision, problems faced are difficult but typically not complex, and may influence others within the job area through explanation of facts, policies and practices. Job Overview The position provides a supportive role to the clinical management team and performs a variety of duties in the coordination of the delivery of care to patients and families in their homes. Triages calls related to patient care, including physician orders, staff issues and other clinical issues. Job Description Minimum Qualifications: 1. Candidates must hold an active RN license in the state where services are provided and may not work in states where they are not licensed. If additional state licensure is required, it must be obtained within sixty (60) days. 2. Three (3) years of community health experience required or combination of at least one year of acute medical/surgical nursing experience and 2 years of home health experience required. 3. If hired prior to 9/28/2026, CPR Certification is required upon hire. If hired after 9/28/2026, BLS Certification is required within thirty (30) days of hire. Preferred Qualifications: 1. Prior experience in telephone triage preferred. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Hours: Full-Time, 40hours/week Location: Lowell, MA 1. Provides effective coordination of clinical services, consistent with the objectives of agency. 2. Works closely with clinical staff to provide necessary services for patients and families in a timely manner, including the provision of direct patient care. 3. Communicates regularly with Clinical Managers as well as with the Clinical Director when issues arise relative to clinical practice or other performance related issues. 4. Demonstrates expertise and knowledge in a variety of areas, including, but not limited to: Current methods of care and treatment; Policies, procedures and protocols which are specific to the Agency; The Agency Infection Control Plan; A working knowledge of all reimbursement criteria; A working knowledge of all regulations; Has a working knowledge of the Medicare Conditions of Participation; and Assisting with individual caseload reviews or other audits as assigned by the manager or Clinical Director. 7. Assists with orientation and preceptor of clinical staff. 8. Demonstrates the clinical expertise needed to provide effective guidance to clinical staff related to patient visit frequency, skill and homebound status, and patient interventions. 9. Evaluates performance of each individual in relation to established standards in collaboration with the clinical manager. 10. Determines staff competency in a fair and consistent manner; provides direction as necessary, leads by example. 11. Works collaboratively with all disciplines, facilitating productivity, cooperation and efficient operations. 12. Assists in clinical manager’s and scheduling coordinator in appropriate coverage based on census, skill mix, geographic location, patient need and clinical capacity. 13. Triages calls from physician and follows through on required actions, including communication to field staff, changes in orders, scheduling prn visits, and f/u as clinical resource to clinical staff if needed. 14. Utilizing voice mail and e-mail, communicates with others, as necessary in an effective and efficient manner. Responds to inquiries in a timely manner. Documents appropriately. 15. Consults with Managers regularly, providing information about progress and concerns. 16. Provides documentation which is concise, accurate and informative, and which supports reimbursement. 17. Assists with reviews of clinical reports such as timelines of care and other audits as assigned by the Clinical Director. 18. Represents the Agency at community and/or professional organizations. 19. Practices in accordance with standards of care, policies, procedures, and scope of practice, demonstrating an awareness of regulatory guidelines. 20. Demonstrates a knowledge and understanding of what to report to the CEO or Chief Compliance Officer when concerns of corporate compliance arise. 21. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Tufts Medicine Care at Home policies and procedures. 22. Practices confidentiality principles set by the agency and federal HIPAA/HITECH guidelines. 23. Participates in all mandatory in-services. Physical Requirements: 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. The noise level in the work environment is usually moderate. 7. While performing this job, the employee is exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Positive, enthusiastic, helpful personality. 2. Organized, able to set priorities and work effectively under pressure with minimal supervision. 3. In depth understanding of Medicare Conditions of Participation and PPS, and case management. 4. Strong planning, problem solving, decision-making, leadership, and motivational skills required. 5. Strong interpersonal skills. Ability to communicate effectively in writing and verbally with people of varied backgrounds 6. Ability to work with a multi-disciplinary team of home health clinicians 7. Computer skills and ability to use word processing, data base and systems applications, etc. preferred. 8. Ability to take initiative and make recommendations for improvement. 9. Ability to read/write and communicate in English. 10. Excellent interpersonal skills. 11. Ability to function well in very busy situations. 12. Responsible and reliable. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $87,360.00 - $98,603.60 based on full-time equivalent Become part of our team as a Wound Program Coordinator, Registered Nurse, where you will lead and oversee wound care programs, provide clinical guidance, and ensure high standards of patient care. This role requires significant experience in wound, ostomy, and continence nursing, with a strong commitment to quality and continuous improvement. We are recruiting an Acute Care RN Navigator - Case Management to provide professional nursing care and coordinate patient transitions across the healthcare system. This senior role involves managing care processes and supporting patient advocacy. Ideal for experienced RNs with advanced knowledge and strong communication skills. We are expanding our team: As a Home Health Registered Nurse, you will deliver comprehensive home health services, including patient assessments and interventions, while supporting patients and families. This role requires acute medical/surgical nursing experience and an active RN license, ideal for those committed to providing high-quality, compassionate care. We are expanding our team: As a Home Health Registered Nurse, you will deliver comprehensive nursing care and manage patient care plans in a home setting. Oversee assessments, interventions, and support for patients and families. Ideal for experienced RNs with strong clinical skills and a commitment to patient-centered care. We are looking for a Home Health RN to deliver comprehensive nursing care and manage patient care plans in a home setting. This senior-level role involves assessing, planning, and evaluating patient needs, with a focus on collaboration and patient advocacy. Ideal candidates have advanced nursing expertise and experience in acute medical/surgical or home health nursing. We are looking for a Hospice Registered Nurse, RN Case Manager to deliver high-quality hospice nursing care and coordinate care for patients and families. This senior-level role involves managing care plans, collaborating with interdisciplinary teams, and requires advanced nursing expertise and experience in hospice or home health. Become part of our team as a Home Health Registered Nurse, delivering professional nursing care and managing patient care plans in a home setting. Oversee assessments, interventions, and support for patients and families. Ideal for experienced nurses with advanced education and licensure, committed to high-quality, patient-centered care. Become part of our team as a Hospice Registered Nurse, Case Manager, delivering professional nursing care and coordinating hospice services for patients and families. Oversee care planning and collaborate with an interdisciplinary team. Ideal for experienced nurses with a background in hospice and home health. Seeking a Home Health RN Case Manager to deliver comprehensive home health services, including patient assessments and interventions, while supporting clients and caregivers. This role requires an active RN license, acute nursing experience, and strong interpersonal skills. Ideal for candidates with a background in acute care and a commitment to patient-centered care.

Home Health

Full-time

1 month ago

RN Field Clinical Care Coordinator - Plymouth County, MA

UnitedHealthcare East Bridgewater, MA

$29 - $52 / hour

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. If you reside within Plymouth County, MA and surrounding areas , you will have the flexibility to work remotely* as you take on some tough challenges. This position is a field-based position with a home-based office. You will work from home when not in the field. Local travel up to 75% and mileage is reimbursed at current government rate. Primary Responsibilities Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team What Are The Reasons To Consider Working For UnitedHealth Group? Put It All Together - Competitive Base Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications High School Diploma/GED Current and unrestricted independent licensure as a Registered Nurse for MA 2+ years of clinical experience Intermediate level of proficiency with MS Office, including Word, Excel and Outlook Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Ability to travel within assigned territory to meet with members and providers Access to reliable transportation and valid US driver's license Preferred Qualifications Bachelor's or Master's Degree in Nursing Certified Care Manager (CCM) 1+ years of community case management experience coordinating care for individuals with complex needs Background in Managed Care Experience working in team-based care Ability to utilize an Electronic Medical Record or other electronic platforms Ability to use on-line training platforms Demonstrated ability to utilize virtual care platforms Physical Requirements Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Home Health

Other

2 weeks ago

SCO Assessment Nurse Case Manager - Hybrid - Lowell

Fallon Health Lowell, MA

$95,000 - $100,000 / year

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Assessment Nurse Case Manager completes face-to-face home visits for new enrollees within 30 days of enrollment to onboard and completes regulatory assessments. The Assessment Nurse Case Manager completes in person Health Risk Assessments (HRAs) in accordance with members assigned frequency. The Assessment Nurse Case Manager completes all new Personal Care Attendant (PCA) Assessments using the integrated time for task tool and well as yearly PCA reevaluations. The Assessment Nurse Case Manager is also responsible for the timely and accurate submission of yearly (and when there is a significant change in status) MDS assessments. Assessments are done primarily in person but may at times be completed telephonically. Responsibilities Overview Conducts home visits for onboarding and regulatory assessments. Completes HRAs and PCA assessments. Submits MDS assessments. Provides education on NaviCare case management program. Conducts telephonic assessments when appropriate. Collaborates with Care Team. Completes LTSS evaluations and collaborates with UM. Member Assessment, Education & Advocacy Conducts in-home assessments with motivational and culturally sensitive interviewing. Performs medication reconciliation. Completes State-required assessment tools per contract. Conducts functional assessments for LTSS programs. Participates in training and audits. Completes telephonic/virtual assessments. Maintains program/policy knowledge to educate members. Supports HEDIS, Medicare 5 Star, and other initiatives. Qualifications Education: Graduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred. License : Active, unrestricted license as a Registered Nurse in Massachusetts Certification : Certification in Case Management strongly desired Other : Driving your personal motor vehicle is an essential job function of this position and the following requirements apply: Must possess a valid drivers’ license Must attest to no disqualifiers per Driver Safety Policy Must possess and provide proof of minimal state required auto insurance Must have reliable transportation Experience: 1+ years of clinical RN experience with complex medical, behavioral, and social co-morbidities. Ability to conduct assessments in-person and telehealth. Ability to work on interdisciplinary teams. Skill in screening social determinants of health. Strong communication and interviewing skills. Problem-solving skills and adaptability. Knowledge or willingness to learn regulatory requirements. Preferred experience: Home Health, OASIS/MDS, Medicare/Medicaid, face-to-face member interactions. Reliable home internet. Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $95,000 - $100,000+ per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P01