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Commonwealth Care Alliance RN Senior Care Options PCA Team - Springfield in Springfield, Massachusetts

At Commonwealth Care Alliance (CCA), our vision is to lead the way in transforming the nation’s healthcare for individuals with the most significant needs. If being part of a team and working on combined solutions for patients matters to you…keep reading. We may have something to talk about.

The RN on the SCO PCA Team performs initial and reassessment evaluations for PCA services to a flexible panel of CCA beneficiaries who are dually eligible for Medicare and Medicaid,

and have complex medical, behavioral health and social needs. The role also includes providing input to members’ care teams on key care management/care coordination decisions, including the adjustment

of the membercentered care plan and identification of the need for durable medical equipment and services.This position requires in‐person visits to members in their homes and will support members

across the clinical group.The RN reports to the SCO PCA Team Manager

This is a full time position working remotely and traveling in the community to members' homes and to the office for meetings and trainings. The first 90 days will be on site in the office for orientation and training.

At CCA, your role matters. You’ll be joining an organization that is mission driven, believes in internal mobility, has excellent benefits (see below) and embraces innovation when it comes to serving our patients.

  • Performs comprehensive functional mobility assessments within their scope practice to evaluate a member’s capacity for ADL/IADLs to inform the need for PCA services. Assessments can be performed for initial requests for services in conjunction with a CCA OT, for reassessment of existing services set to expire, or a reassessment in the case of a status change

  • Assess member’s ability to manage the PCA program

  • Performs detailed medication inventory

  • Identifies and relays DME needs to CP

  • Suggests appropriate LTSS based on assessment

  • Create associated authorization if PCA services are deemed appropriate

  • Collaborate with CCA Care Partner, GSSC, and community‐based PCPs/Specialists, as needed

  • Communicates identified concerns or needs for skilled care with CCA interdisciplinary site team to ensure comprehensive member needs are consistently met (e.g. behavioral health, health outreach, chronic disease management, etc.)

  • Documents all activities and results using an Electronic Medical Record, in an effective manner, while strictly adhering to CCA policies and procedures

  • Engages in collaboration with peers across CCA sites to support implementation, education and standardization of practices

  • Associate’s degree in nursing required, Bachelor’s Degree in nursing preferred

  • Registered Nurse with licensure in good standing in Massachusetts

  • Meaningful clinical experience in primary care, care management and/or LTSS, including: 5+ years as a Registered Nurse in a high touch clinical environment or home care; OR 2+ years caring for patients/members with complex medical, behavioral health, and social needs

  • Certified in Basic Life Support for Healthcare Providers

  • Bilingual preferred

  • Must be willing and able to travel to members’ homes in addition to working in an office environment occasionally

  • Valid driver’s license with no restrictions.

  • Ability to be active and mobile across Massachusetts

Does this sound like you? If you’re interested in this opportunity, please apply today. The process takes 10-15 minutes. We offer excellent benefits, including:

Medical, dental and vision plans with low employee contributions

A generous paid time off program

403(b) with company match

Loan Forgiveness Program

Educational Assistance/Reimbursement

keywords: RN, registered nurse, master's degree, healthcare, assessments, senior, case management, case manager, care coordinator, care coordination, clincial, clinician, community health, social services, complex, medical, behavioral, bilingual, telephonic, managed care, telecommute, remote, PCA, Medicare, Medicaid, SCO, Senior Care Options, MA, Springfield, Chicopee, Holyoke, Massachusetts

Job Title for Posting: RN Senior Care Options PCA Team - Springfield

ID: 2020-3395

External Company Name: Commonwealth Care Alliance, Inc.

External Company URL:

Actual Work Location: 101 Wason, Springfield, MA