We’re seeking a Nurse Care Manager to work with our Senior Care Option members in the Springfield area! This is an exciting opportunity to join a young, growing business while also working with Seniors in our community. The role will primarily be conducted in the field, face to face with our members and working remotely/in a work from home environment. Join our mission driven company and work alongside our passionate, caring and collaborative clinicians. This is a full time, employee position with an outstanding benefits program.
About Our Organization:
Boston Medical Center HealthNet Plan is a not-for-profit managed care organization which was formed by Boston Medical Center in 1997. The Plan serves more than 290,000 members across Massachusetts and New Hampshire. BMCHP is one of the largest Medicaid (MassHealth) health plans in Massachusetts with approximately 190,000 members. Well Sense Health Plan is the largest Medicaid health plan in New Hampshire with more than 85,000 members. Last year, we launched our Senior Care Option product and the program continues to grow!
Key Functions and Responsibilities
Lead the completion of assessments and re-assessments and the development of the person-centered Individualized Plan of Care (IPC)
Act as the liaison for hospital staff, community based organizations and Aging Services Access Points (ASAPS), the primary care provider and other members of the Primary Care Team (PCT)
The Ideal Candidate
Prior experience in Medical Case Management of geriatric populations
Comfortable visiting members in their homes in the Hampden County area
Familiarity with Minimum Data Set – Health Care (MDS-HC) or Health Risk Assessment (HRA) processes
Bilingual in Spanish, Haitian Creole, Spanish Creole, French Creole is a plus!
Weekly supervision with Manager of Care Management, Senior Care Options
Bachelor’s degree or an equivalent combination of education, training and experience is required.
Master’s degree in nursing, geriatric NP, or health related/public health field preferred
Certification in case management (CCM) preferred
3 years’ experience in Medical Case Management working with the geriatric population
Certification or Conditions of Employment:
Pre-employment background check
Active Massachusetts RN license required.
Competencies, Skills, and Attributes:
Excellent clinical and assessment skills
Experience with the Medicaid, Medicare, and Senior population
Experience with ASAPs preferred
Ability to work collaboratively and build strong relationships with providers, Enrollees, and the PCT
Proficiency in InterQual Level of Care through the continuum
Excellent working knowledge of Windows and Microsoft Office products
Flexible, independent, self-starter with an ability to thrive in a fast paced environment
Demonstrates commitment to quality
Projects positive, team oriented demeanor
Demonstrates strong interpersonal skills including effective listening and ability to support, motivate and guide others
Strong oral and written communication skills; ability to interact within all levels of the PCT
Demonstrated strong organization and time management skills
Demonstrated ability to successfully plan, organize and manage within a person centered integrated care team
BMC HealthNet Plan is a non-profit managed care organizations committed to providing the highest quality healthcare coverage to underserved populations. In Massachusetts, BMC HealthNet Plan is the business name for Boston Medical Center Health Plan, Inc.; outside Massachusetts, Well Sense Health Plan is the business name.
BMC HealthNet Plan serves Massachusetts residents across four product lin...es: MassHealth (Medicaid), ConnectorCare, Qualified Health Plans, and Senior Care Options. We are one of the largest Medicaid health plans and the lowest cost Qualified Health Plan in 6 out of 7 regions* in Massachusetts.
We are committed to the communities we serve and we want to focus on the unique health needs and resources particular to those communities. That’s why BMC HealthNet Plan has its corporate office in Boston and teleworkers located throughout the state. In New Hampshire, Well Sense Health Plan’s office and staff are located in Manchester.
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