RN Home Care Case Manager

Wells Health Care is currently looking to hire Full-Time, part-time, and per diem RN/LPN to join our team in the Worcester, Leominster, Fitchburg, Lowell, Lawrence, and Haverhill areas of Massachusetts to perform monthly home visits to Members of our Adult Family/Foster Care and Group Adult Foster Care program.

Essential Functions

• Assists the program director in administrative duties while overseeing the Personal Caregiver's in the home setting environment based on Group Adult Foster Care and Adult Foster Care guidelines.
• Directs and supervises personal care staff and other social services; orientating and training of personal care staff
• Evaluation of all potential clients: assessments and admissions of clients
• Contact with client's primary care physician to obtain medical information and physician clearance; also reporting any changes in medical status
• Completion of all components of the client's assessment forms
• Developing and reviewing on an ongoing basis each member's AFC and/or GAFC plan of care
• Monitoring of the client's health status and completion of the semi-annual client health status report (PSF), the annual MDS, the client care plan and all other applicable clinical assessments.
• Selecting, training, evaluating, and supervising AFC caregivers in conjunction with the care manager
• Reviewing the PCP Summary Form
• Monitoring the health status of all members to ensure that all needed AFC and/or GAFC is properly delivered
• Reporting changes in the health status of any member to the member's PCP
• Reviewing AFC caregiver logs at a minimum of every 30 days (when appropriate)
• Conducting on-site visits for AFC members with each member at the qualified setting
• Completing a nursing progress note corresponding with each on-site visit or encounter, or more often as the member's condition warrants
• Submitting semiannual health-status reports to the member's PCP
• Planning for and implementing discharges and transition from the AFC and/or GAFC program
• Conducting an orientation for each AFC caregiver before the AFC caregiver begins personal care; and providing ongoing training to AFC caregivers on health and aging
• Overseeing and managing all clinical charts
• Planning, implementation, and evaluation of AFC and/or Group Adult Foster Care setting
• Provision of case management
• Review and supervision of personal care services
• Review and clinical sign off on all personal care tasks (timesheets/task logs) when appropriate
• Visiting all clients on a regular basis; including but not limited to scheduling of client visits
• Communicates health status of the clients to the case manager and office management
• Follows all policies and procedures when working with a client
• Reports observations and functioning status of the clients in the internal charts
• Monitoring the health statistics of all participants to ensure that all AFC and/or GAFC is properly delivered.
• Completing an onsite progress note corresponding to each onsite visit or encounter.
• Performs any other additional duties that may be required by management at anytime.

Education, Experience and Licensure Requirements

• Licensed by the Massachusetts Board of Registration in Nursing
• Must have or adults with disabilities
• Excellent interpersonal and communication skills required
• Valid driver's license with proof of insurance required
• Bilingual in English and secondary language/spanish preferred
• Relevant experience, preferably in healthcare, home health care, case management preferred.

DRIVING IS REQUIRED

Adult Foster Care is a great program that helps keep families loved ones in their homes.

Job Types: Full-time, Part-time, Per Diem

Pay: $34.00 - $38.00 per hour

Work setting:

• Home Health Care
• Office
• Telehealth

Education:

• Associate (Required)

Language:

• Spanish (Preferred)

Willingness to travel:

• 100% (Required)

Work Location: On the road with some office hours on slow days.

Job Type: Part-time

Pay: $38.00 - $40.00 per hour

Expected hours: 16 – 24 per week

Benefits:

• 401(k)
• 401(k) matching
• Flexible schedule
• Free parking
• Life insurance
• Mileage reimbursement
• Paid sick time
• Paid time off
• Referral program
• Vision insurance

Schedule:

• Monday to Friday
• No weekends

Education:

• Associate (Preferred)

Experience:

• Nursing: 1 year (Preferred)
• Home health: 2 years (Preferred)

Language:

• Spanish (Preferred)

License/Certification:

• RN (Preferred)

Willingness to travel:

• 100% (Required)

Work Location: In person

Salary : $34 - $38