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- Conduct comprehensive assessment of enrollees including the medical, psychiatric and social components.
- Review/sign off on medical component of comprehensive assessment
- Monitor enrollee's health status and needs and provide nursing and medical care coordination, including revising health related treatment goals and plans in collaboration with the enrollee and the Care Team.
- Coordinate the development, implementation, and ongoing review of the care plan.
- Conduct medication reviews and reconciliation including adjustment by protocol.
- Communicate and collaborate with ACO teams and serve as a team resource.
- Follow up of an enrollee's inpatient stay, (including hospital, shelter, substance abuse programs, SNF), and collaborate with enrollee, Care Team, and hospital staff to coordinate transitions of care.
- Collaborate and communicate with the enrollee's other medical, behavioral health and home-based providers regarding changes in services, hospitalizations, and other care needs and goals
- Obtain required Prior Authorization from Managed Care Plan (ACOs, MCOs) for relevant and necessary services.
- Perform other related duties, as assigned.
- A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan
- First-rate Medical, Dental and Vision plans that are open to all employees scheduled to work 30 hours per week or more. Plus, we offer a generous employer contribution toward the cost of medical insurance
- Employer-paid Life, Accidental Death Dismemberment and Long-Term Disability Insurance
- Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance
- Flexible Spending Accounts (Health and Dependent care)
- Voluntary Term, Whole Life, Accident and Critical Care Insurance
- Generous paid time off (Employees scheduled to work 20 hours or more per week):
- 15 days of Vacation per year
- 12 Paid Holidays
- 10 Sick Days per year
- 3 Personal days per year
- Educational Assistance and Tuition Remission Programs
- $500 Employee Referral Bonus with no annual cap
- Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more
- A minimum of 3 years of clinical care management or case management experience preferred.
- Registered Nurse licensed in Massachusetts (BSN or MSN) in Massachusetts
- Effective skills in managing, teaching, negotiating, and collaborating with multidisciplinary teams and enrollee/family focus.
- Experience working with people living with mental illness or substance use disorders.
- Preference given to bi-lingual/bi-cultural applicants and applicants with lived experience of psychiatric conditions.
- Must be able to become CPR certified within two weeks of hire. Vinfen provides certification training upon hire.
- Must be able to successfully pass a CORI, reference, professional license and multi-state background check.
Clinical Care Manager - Weymouth, United States - Vinfen
Description
Job DescriptionSchedule:Mon-Fri 9:00am-5:00pm
Salary:$90,000 / year
The Clinical Care Manager - Registered Nurse (RN) on the Community Partner team provides clinical care management and intensive care coordination for people with complex medical and behavioral health needs. The RN will act as a Clinical Care Manager and is a vital member of the Community Partner Care Team which includes licensed behavioral health clinicians, a care transitions manager, community health workers and a team administrator. The RN is supervised by the Care Team Leader and will learn about working on a community-based interdisciplinary team, trauma/recovery skills, care transitions support, behavioral health and substance use disorder services, and person-centered care planning. The RN must be willing to visit enrollees in their homes throughout the service area as well as work from our office.
The Clinical Care Manager - Registered Nurse will also:
Our comprehensive and generous benefits package includes:
Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,200 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in 318 programs throughout Massachusetts and Connecticut. For more information about Vinfen, please visit
My Job. My Community. My Vinfen.
Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
Keywords: RN jobs, Registered Nurse, Clinical Care Management, ACO, Medicaid, Care Team, Community Partners, Care Manager, VinfenIC, VinfenRN,RN, Registered Nurse, Nursing
Requirements