Job Description
Compensation : $28 / hr LPN; $37 / hr RN
Due to rapid expansion in all of our clinics, we are offering up to $3,000 sign on bonus*. We are eager to be able to continue to serve clients in our service areas and need you to make this happen!
The Nurse Care Manager is part of the person-centered integrated care team and provides individual and population-based health interventions to persons enrolled in the Health Care Home by integrating care for physical health conditions into the behavioral health setting.
This is a part-time position, 20 hours per week, at our Hampton office. Minimum availability of 3 days per week, preference to candidates who can work 5 days.
ESSENTIAL FUNCTIONS
- Responsible for completion of monthly assigned interventions, and all aspects of care according to DMH regulations, for a case load of up to 200 Healthcare Home clients
- Meet with assigned clients to complete health screening initially and annually; identify risk level, care gaps and make recommendations
- Assist in developing a physical health goal for the Wellness Plan; promote healthy lifestyles including healthy nutrition, physical activity, and freedom from tobacco / nicotine use
- Ensure that clients are referred to a PCP and / or Specialist if they do not have one; provide education to clients regarding the importance of having a PCP and encourage regular usage of their PCP for screening and management of chronic health conditions;
provide education regarding the appropriate use of PCP / Urgent Care / ED
- Complete Metabolic Syndrome Screenings on assigned clients following the Metabolic Screening Policy and Standing Order
- Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital per agency guidelines
- Provide education to clients / caregivers identified on monthly reports, and as needed, regarding physical health conditions, treatment, screening, prevention, and self-management
- Provide consultation and education for community-based and office-based staff about identifiable health conditions
- Consult with Specialized Healthcare Consultant as scheduled and as needed
- Assist in contacting / collaborating with medical providers and other human / social service agencies regarding significant health information to ensure the provision of holistic services
- Function as part of a multi-disciplinary team; attend team meetings, CPRC / SUD team huddles, and integrated meetings as assigned
- Attend agency meetings and DBH / Council meetings as assigned
- Travel to assigned clinics; travel to other clinics / locations for nursing coverage and trainings / meetings as needed
- Travel to client’s home when indicated
- Meet service provision expectations per client needs and company guidelines
- Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member
- Other duties as assigned
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