What are the responsibilities and job description for the Geriatric Complex Case Manager / RN / Hybrid position at RCM Health Care Services?
One of the top places to work in Boston, is currently seeking and experienced RN Geriatric Care Manager to join their dedicated team. This role comes with amazing benefits/compensation and also offers a hybrid work model. Please apply for more details!
Geriatric Complex Care Manager – RN - Hybrid
The Geriatric Complex Care Manager is responsible for identifying, referring, and successfully enrolling prospective participants into the Geriatric programs. They work directly with the prospective enrollee in a professional and respectful manner, which reflects the needs and concerns of the individual. Uses communication devices/interpreters appropriately, to ensure that the program benefits are well understood and that issues are resolved, and needs met, resulting in a successful and timely enrollment.
This position requires universal skills and proficiencies which include demonstrating a comprehensive understanding of the Health Center’s mission and core values--compassion, diversity, innovation, respect. In addition, the Geriatric Complex Care Manager demonstrates initiative, critical thinking, problem solving, leadership qualities, and effectively engages with the clinical team.
The Geriatric Complex Care Manager will work with providers to identify and make referrals to the appropriate geriatric programs based on patient needs and eligibility through panel reviews, chart reviews, data analyses, etc.
Duties & Responsibilities
Knowledge, Skills, and Abilities Required
Education
Geriatric Complex Care Manager – RN - Hybrid
The Geriatric Complex Care Manager is responsible for identifying, referring, and successfully enrolling prospective participants into the Geriatric programs. They work directly with the prospective enrollee in a professional and respectful manner, which reflects the needs and concerns of the individual. Uses communication devices/interpreters appropriately, to ensure that the program benefits are well understood and that issues are resolved, and needs met, resulting in a successful and timely enrollment.
This position requires universal skills and proficiencies which include demonstrating a comprehensive understanding of the Health Center’s mission and core values--compassion, diversity, innovation, respect. In addition, the Geriatric Complex Care Manager demonstrates initiative, critical thinking, problem solving, leadership qualities, and effectively engages with the clinical team.
The Geriatric Complex Care Manager will work with providers to identify and make referrals to the appropriate geriatric programs based on patient needs and eligibility through panel reviews, chart reviews, data analyses, etc.
Duties & Responsibilities
- Responsible for executing marketing and enrollments strategies and cultivating relationships with primary care departments, community organizations, senior centers, and elderly & disabled housing etc.
- Network by presenting at different departmental and managers staff meetings to promote awareness and education of specialty programs, expand referral sources, and membership growth to the geriatric program.
- Perform enrollment related activities, such as identifying potential prospects, screening leads to ensure eligibility requirements, and explaining the program
- Recommend changes to the referral and enrollment process. Works with the providers to educate referral sources and make recommendations for outreach efforts.
- Participate in health fairs and events as appropriate to promote Geriatric Programs
- Maintains case load of potential enrollment participants and monitors/manages timely enrollment by working with the PACE enrollment team and the CCA Enrollment Specialist;
- Establishes and maintains productive relationships with referral sources. Communicates with referral source via epic on progression of enrollment process for referred individuals.
- Maintains consistent communication and collaboration with referring departments and providers relating to staff and program issues; ensures that Managers and peers are also informed of these matters.
- Functions as a team member, including active participation in staff meetings as appropriate to provide support, assistance, feedback.
- Promotes a sense of teamwork; maintains a positive and flexible/adaptable attitude. Open to new ideas and embraces change. Promotes a culture of acceptance, support and collegiality.
- Uses Clinical skills to complete MDS assessment to determine PACE program eligibility.
- Performs other duties as assigned.
- Check ongoing status of enrollment opportunities.
- Perform panel reviews and chart reviews to vet leads.
- Develop and review EPIC reporting to identify prospective participants.
- Maintain regular meetings and communication with providers to review panels and specialty referral orders.
- Explain geriatric programs and assist participants when needed in the enrollment process.
Knowledge, Skills, and Abilities Required
Education
- Graduate of an Accredited Nursing Program.
- Licensure in Massachusetts as an RN or LPN.
- BLS certification required.
- Bilingual skills preferred, but not required.
- 2–3-year relevant Case Management experience is preferred.
- Demonstrated ability to communicate effectively both in writing and verbally.
- Familiarity with the use of a personal computer in a Windows environment preferred.
