Latest Nursing and Nursing Support Jobs
$89,065 - $162,801 / year
About this Job: General Summary of Position Responsible for the coordination of patient care across the continuum under the auspices of a provider's prescribed plan of care national guidelines and within the scope of nursing practice. The navigator educates/provides information and support to patients in order to guide and facilitate understanding of treatment plans prescribed by licensed independent practitioners and/or within scope of nursing practice. Oversees directs and provides holistic culturally competent and evidence-based nursing care. Monitors patient outcomes and participates in quality improvement activities. Contributes to and collaborates with health care team members to positively impact patient outcomes and patient experiences. The Nurse Navigator is recognized as a professional role model and clinical expert and promotes a professional environment that supports nursing excellence and collaborative shared decision-making. Primary Duties and Responsibilities Assessment: Obtains a baseline of information used for the development of the individualized plan of care. Plans: Works with an interdisciplinary team throughout the continuum of care to develop and manage the plan of care for the patient. Assists patient/family with scheduling ancillary testing and other services and presenting necessary history diagnostic/treatment studies and/or results etc. through the continuum of care. Assists at risk patients family and friends with risk assessment screening and education by working collaboratively with appropriate resources. Patient Education: Provides initial and continuing education related to specific disease process associated treatment modality and agreed plan of care for patient and family. Available as a resource to assist in the provision of community education and outreach development. Implementation: Acts as a liaison between patients families the health care team community resources and other facilities to coordinate the provision of care. Acts as a patient advocate to help identify and eliminate barriers to care. Acts as a clearinghouse for incoming referral calls in an effort to streamline the delivery and coordination of care. Ensures patients' referral process and transition into specialty services are timely and efficient anticipates patient and family needs throughout the continuum of care. Explores and connects patients with appropriate resources health care and support services within assigned entity at other external facilities and in their communities for timely diagnosis treatment and survivorship. Supports and promotes quality and patient safety initiatives. Collaborates with physicians and associates to monitor and analyzes departmental performance data and identifies and participates in hospital and/or unit-based performance improvement activities including but not limited to core measures nursing quality indicators and other patient care outcomes (e.g. Length of stay and patient satisfaction). *Delivers direct patient care as required. Evaluation: Monitors patient progress goal attainment and patient experience feedback to evaluate the effectiveness of care. Ensures plan of care changes are communicated to patient family and team. Possesses working knowledge of physician/health care team members' plan of care appropriate professional guidelines and standards of care. Contributes to development of internal clinical guidelines/pathways. Monitors patient outcomes and utilizes quality improvement activities and strategies that support quality patient care and optimizes outcomes in an interdisciplinary care environment and consistent with patient and family wishes. Demonstrates competencies including knowledge and behaviors to meet specific patient care requirements nursing practice standards and other regulatory or required knowledge and /or skills.* Maintains current knowledge of clinical improvement strategies and outcomes management through self-study literature reviews site visits educational conferences and other forums. May be responsible to maintain a working knowledge of available clinical trials that might be appropriate to the patient population. Collaborates with research coordinators and/or principal investigators to ensure adherence to research protocols. Supports a professional atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and employee satisfaction as evidenced by outcomes data. Oncology: Manages and tracks budgets of Cancer Committee approved support groups. Reviews available health education materials and makes recommendations for utilization. Coordinates and facilitates to patients in our service area the Cancer Committee approved support programs. Provides the necessary support to the Tumor Registrar in a timely manner. Actively participates in routine Tumor Boards/Cancer Conferences. Develops and maintains partnerships with physicians to promote utilization of MGH Cancer Center the Navigator and other MGH Cancer-related services. Participates in planning and administration of hospital organized education/prevention and cancer screenings. Provides screening results/navigation follow up and reports this information to Cancer Committee. Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Assures compliance with Federal and State regulations. Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate. Minimal Qualifications Education Bachelor's degree BSN required and Master's degree in Nursing preferred Experience 3-4 years of progressively more responsible clinical nursing experience in specialty area required and Case Management discharge planning or Oncology experience may be preferred based on location preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the State of Maryland or District of Columbia Upon Hire required and AOCN - Advanced Oncology Certified Nurse based on location Upon Hire preferred and CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and Additional unit/specialty certifications may vary by department or business unit. Knowledge Skills and Abilities Strong assessment skills of patient needs and concerns. Ability to perform duties autonomously under direction of multiple disciplines. Basic computer skills. Effective interpersonal skills including excellent verbal and written communication skills. This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. 
$118,000 - $125,000 / 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 or purpose: The RN Assessment Supervisor is responsible for: Lead a multi‑site RN team to ensure timely, high‑quality assessments and care coordination. Ensure all assessments are completed accurately, efficiently, and on schedule. Provide coaching, supervision, and training; implement remediation when needed. Work with navigators and care teams to support comprehensive member care. Partner with Clinical Integration Leaders to implement required Models of Care and program standards. Monitor team performance, ensure compliance, and maintain staff readiness. Support quality improvement efforts tied to NCQA, HEDIS, CMS, State, and other performance measures. Prepare and organize case files for audits and regulatory reviews. Build collaborative relationships with State agencies and community providers to support coordinated services. Responsibilities Primary Job Responsibilities: Primary Goals Ensure timely, accurate assessments for members. Maintain high team performance, productivity, and compliance. Support quality, regulatory, and program standards. Strengthen collaboration across internal teams and community partners. Key Tasks Team Leadership & Oversight Lead a multi-site RN team and ensure assessments are completed correctly and on schedule. Hire, train, coach, and evaluate staff; address performance issues when needed. Monitor workloads, reassign tasks, and ensure team readiness. Hold regular 1:1s, huddles, and case discussions. Audit documentation for accuracy and adherence to workflows. Assessment & Program Management Ensure proper use of all assessment tools (MDS HC, UAT, product-specific tools). Serve as subject matter expert for MDS submissions and PCA time-for-task guidelines. Ensure accurate member rating category assignments. Guide staff in whole-person care planning (medical, behavioral, social). Quality & Compliance Support quality initiatives (NCQA, HEDIS, CMS Stars, State measures). Use reporting tools to track performance; teach staff to use reports independently. Prepare assessment cases and documentation for audits and regulatory reviews. Ensure strict HIPAA compliance. Collaboration & External Relationships Work closely with navigators, care managers, and integration leaders. Support Models of Care and program requirements across product lines. Maintain partnerships with state agencies and community providers. Share information on clinical, social, and financial resources. Additional Responsibilities Provide support and coverage within the department as needed. Complete other tasks assigned by the Manager/Director. Qualifications Qualification Requirements Education Graduate from an accredited school of nursing, associates degree required, bachelor’s or higher strongly preferred License/Certifications License: RN Candidates (Required) Active, unrestricted license as a Registered Nurse in Massachusetts Certification : Certification in Case Management strongly desired, willingness to obtain when eligible 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 4+ years RN clinical experience managing patients with complex medical, behavioral, and social needs. Strong customer service skills and ability to resolve issues quickly. Experience with process improvement and using data to enhance workflows (preferred). Excellent organization and multitasking abilities. Knowledge of community resources, levels of care, and developing care plans that meet regulatory standards. Able to adapt to changing needs, think creatively, and solve problems. Experience supervising staff supporting social determinants of health needs (preferred). Experience with OASIS and/or MDS assessments (preferred). Familiarity with Medicare and Medicaid programs and regulations (preferred). Background in social service agencies or related state agencies (DMH, DDS, DCF, DYS) or community service organizations (preferred). Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $118,000 - $125,000 annually, 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 Browse All Jobs → 
