RN Jobs in Springfield, MA
$90,000 - $120,000 / year
Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position focuses on integrating health services and community resources to coordinate enrollee care for improve health outcomes and enhanced quality of life. Essential Functions: Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship, while considering the cultural and linguistic needs of each member. Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions. Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments Engage enrollees in care plan development and implementation, providing routine updates as the enrollee’s status changes Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization, to create holistic care plans that address medical and non-medical needs. Oversee enrollee utilization of long-term services and supports, ensuring appropriate systems are in place for enrollees to remain in the location of their choice Assist members in accessing community resources, including housing, transportation, food assistance, and social services. Educate members about their benefits and available services under both Medicare and Medicaid. Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care. Promote healthy lifestyle choices and self-management strategies. Assist enrollees in preventative health strategies, including gap closure Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions. Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information. Coordinate with community-based organizations, other stakeholders/entities, state agencies, and other service providers to ensure coordination and avoid duplication of services. Advocate for the needs and preferences of enrollees within the healthcare system. Evaluate member satisfaction through open communication and monitoring of concerns or issues. Regular travel to conduct member, provider and community-based visits as required Report abuse, neglect, or exploitation of older adults and adults with disabilities as a mandated reporter as required by State law. Adherence to NCQA and Care Management standards Performs any other job related duties as requested. Education and Experience: Associates of Science (A.S) degree in nursing from an accredited nursing program required or Master's degree in social work or mental health counseling and independent license required Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with people with complex medical, behavioral and social needs as an LPN, CHW, MA required Prior experience in care coordination, case management, or working with dual-eligible populations preferred Medicaid and/or Medicare managed care experience preferred Competencies, Knowledge and Skills: Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel. Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries. Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers Ability to manage multiple cases and priorities while maintaining attention to detail. Adhere to code of ethics that aligns with professional practice. Awareness of and sensitivity to the diverse backgrounds and needs of the populations served Decision making and problem-solving skills. Ability to function independently and effectively as part of an interdisciplinary team Strong and effective communication skills, both written and verbal Strong interpersonal and customer relations skills Strong customer service skills Licensure and Certification: Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or a Licensed Mental Health Counselor (LMHC) required Case Management Certification is highly preferred Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members Must live within commutable distance to the Commonwealth of Massachusetts Over 50% (Mobile) Routine travel required Compensation Range: $90,000 - $120,000 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. 
$105,000 - $120,000 / year
Overview Hospice Registered Nurse Clinical Manager Beacon Hospice, an Amedisys company Make a difference every day as an Amedisys RN clinical manager Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Attractive pay $105,000.00 - $120,000.00 salary What's in it for you Choice of PPO or HSA medical plans with free telehealth. Paid time off. Up to $1,000 in free healthcare services with Amedisys HSA plan. Up to $500 in wellness rewards for activities-use for spa, gym, sports, hobbies, pets and more.* Mental health support with up to five free counseling sessions through the Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. Fleet vehicle program (restrictions apply) and mileage reimbursement. And more. *Benefit eligibility can vary by position and shift status. *Participation requires enrollment in an Amedisys medical plan. Responsibilities Supports, participates and works cooperatively with the director of staffing. Responsible for overall quality of patient care and clinical performance of nurses and aides. Organizes clinical operations for the care center. Reviews requests for services and determines patient eligibility/suitability for home care services. Works with intake in coordinating patient referrals and admissions. Oversees scheduling. Oversees payor verification and precertification requirements. Reviews documentation of other staff members and ensures missing, incomplete and/or untimely documentation issues are resolved. Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC). Regularly evaluates the needs of the patient and makes necessary revisions to the plan of care in collaboration with clinicians. May provide direct patient care on an infrequent basis in times of emergency. Participates in the on-call process. Assists with training of staff to ensure quality care, compliance and fiscal responsibility. Participates in the investigation and resolution of patient/family/physician concerns. Qualifications Associate or bachelors degree in nursing. One year of clinical RN experience in home health or hospice. One year of RN management experience. Current RN license, specific to the state(s) you are assigned to work. Current CPR certification. CT State Requirements : An agency supervisor of clinical services shall be a registered nurse with an active license to practice nursing in this state, and shall have one of the following: (1) A master’s degree from a program approved by the National League for Nursing or the American Public Health Association with a minimum of one year (1) full-time clinical experience in a home health agency or related community health program which included care of the sick at home; or (2) A baccalaureate degree in nursing and a minimum of three (3) years of full-time clinical experience in nursing, at least (1) one of which was in a home health agency or community health program which included care of the sick at home; or (3) A registered nurse who has been continuously employed in the position of supervisor of clinical services in a home health agency in this state since January 1, 1979; or (4) A diploma in nursing or an associates degree in nursing and (A) A minimum of three years of full-time or full-time equivalent clinical experience in nursing within the past five years, at least one year of which was in a home health care agency or community health program which included care of the sick at home; and (B) Evidence of certification by the American Nurses’ Association as a community health nurse or completion of at least six credits received within two years in community health nursing theory or six credits in health care management from an accredited college or university program or school of nursing. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. 
$120,000 - $122,000 / hour
Joining the Benchmark Senior Living team means putting your passion to work. Our associates feel a sense of belonging with the care that they provide, empowered by the open and reliable team that surrounds them. Our diverse and skilled workforce takes immense pride in a shared commitment: a devotion to providing caring and dedicated service. In our supportive environment, associates can learn and grow. With professional and personal training programs, as well as education for career advancement, we empower associates to explore their interests, feed their passion, and pursue growth opportunities. We invite you to connect with your calling, find purpose in your career, and gain lifelong relationships through the power of human connection by transforming the lives of seniors! We are seeking a compassionate and caring Director of Nursing to oversee hiring, training, and management of our community care team. This role will also serve as the liaison with family members, community agencies, physicians, and outside care providers. Responsibilities Assuring compliance with all resident care related regulations (e.g., medication management, resident assessments, care plans) Documenting and providing accurate record-keeping, as appropriate Demonstrating personal/resident safety methods and procedures Representing Benchmark Senior Living with pride and knowledge to educate outside groups and organizations Requirements Being a Registered Nurse (RN) Minimum 2 years of experience in a care setting; Assisted Living/Home Care or Hospice setting experience a plus Knowledge of Dementia care a plus As a community leader at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Vacation and Health & Wellness Paid Time Off Discounted Meal Program Associate Referral Bonus Program, up to $1,500 Physical & Mental Health Wellness Programs Medical, Vision & Dental Benefits; no enrollment waiting period 401k Retirement Plan with Company Match Company-provided Life Insurance & Long-Term Disability Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
