RN Case Manager

Market leading healthcare organization is looking for hybrid RN Case Managers in the greater Lowell, MA area! Great opportunity, please call us today!

***Hybrid - WAH and Field base***

Shift: M-F 8 hour day shift

Hybrid working from home and traveling locally with in the greater Lowell/Lawrence, MA area (mileage is reimbursed).

Duties:

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.

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.

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

Potential for long term based on performance!

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on us.fitly.work.




Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).




This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.