Massachusetts Healthcare Jobs

Experience in obstetric and women's health strongly preferred (it helps with the candidate ideally supporting our High Risk Obstetric RN CM program).

Key Words:

• Obstetrics/OB

• Gynecology/Women’s Health

• Maternity/Delivery

Job Summary

The Care Manager - Nursing (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ability to facilitate a care plan which ensures quality medical care for the member. The RN CM works closely with the member, the caregiver/authorized representative, and providers to meet the targeted member-specific goals. Based on national standards for CM practice, the RN CM focuses on empowering the member to support optimal wellness and improved self-management.

• Administer assessments, collaborate with the member/caregiver and providers to develop a plan of care, implement member-specific CM interventions, and evaluate plan of care and revise as needed.

• Facilitate program enrollment utilizing key motivational interviewing skills

• Provide targeted health education, proactive strategies for condition management, and communication with key providers and vendors actively involved in the member’s care

• Perform telephonic outreach to assess barriers to wellness, medical, behavioral, and psychosocial needs of the member.

• Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care, which includes but is not limited to ensure understanding post-hospital discharge instructions, facilitate needed services and follow-up, and implement strategies to prevent re-admission

• Performs case documentation in applicable CM system according to department and regulatory standards

• Collaborates and liaises with the interdisciplinary care team, to improve member outcomes (i.e., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and BH CM)

• Attend and present (as appropriate), high risk members at interdisciplinary rounds forum

• Maintain professional growth and development through self-directed learning activities

• Other duties and projects as assigned

Additional Information :

Job Requirements

• Current and valid Massachusetts Registered Nurse licensure in good standing

• Skill and proficiency in applying highly technical principles, concepts, and techniques that are central to the nursing profession

• Skill in assessing, planning, and managing patient care as acquired through three years of clinical nursing experience in an acute care hospital; rehabilitation or home care experience

• Advanced communication and interpersonal skills with all levels of internal and external customers

• Knowledge of computer software applications;

• Good organizational and prioritizing skills

• Competency assessing across developmental ages (children, adolescents, adults, older adults) is required

• Obstetric experience a plus

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .

" US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. "