Job Title:
Nurse Care Manager

Company: Hearth, Inc.

Location: boston, MA

Created: 2024-04-23

Job Type: Full Time

Job Description:

Overview:As a Nurse Care Manager at Anna Bissonnette House, Elsie Frank House, Burroughs Street, Ruth Cowin House, and Olmsted Green, your primary responsibility is to ensure the health and well-being of our residentsclients. You will play a crucial role in advocating for their needs, providing timely and appropriate access to care, and coordinating with various healthcare professionals to optimize their overall health outcomes.Major Functions:• Advocating for residents' mental and physical wellness.• Educating residents about their current health status and providing timely information and care.• Investigating and enrolling residents into SCO's (Senior Care Options) to ensure comprehensive care.• Coordinating with doctors' offices, visiting nurses, home care agencies, pharmacies, PCPs (Primary Care Physicians), therapists, psychiatrists, and medical specialists as needed.• Scheduling annual doctor visits for residents.• Document any changes in residents' health status accurately and promptly and update internal database.Duties and Responsibilities:Assessment: - Conduct comprehensive assessments of residents' health status upon admission into the supportive housing facility, follow up as needed.- Communicate findings and provide relevant information to residents in a timely manner.- Develop and update care plans in collaboration with the interdisciplinary team.- Document any changes in residents' health status accurately and promptly.EducationAdvocacy:- Educate residents about their current health status, medications, and wellness practices.- Advocate for residents' needs and ensure they receive appropriate care and support. Maintain CDC suggested vaccinations in accordance with the EOEA.- Investigate and enroll eligible residents into Senior Care Options (SCO) for enhanced care coordination.Coordination:- Establish and maintain effective communication channels with healthcare professionals and service providers.- Coordinate appointments and services with doctors' offices, visiting nurses, home care agencies, pharmacies, PCPs, therapists, psychiatrists, and medical specialists.- Schedule annual doctor visits for residents and ensure follow-up care as needed.Supervision of Personal Care Home Makers:- Manage schedules, time-off requests, and performance evaluations for Personal Care Home Makers.- Conduct biweekly meetings with Personal Care Home Makers to discuss client needs, updates, and any concerns.- Perform annual evaluations and performance reviews for Personal Care Home Makers, and manage and monitor appropriate day-to-day interactions, identifying areas for improvement such as attitudes, professionalism, and timeliness.Requirements:- Registered Nurse (RN) or Licensed Practical Nurse with a degree from an accredited School of Nursing (B.S. preferred).- Minimum of two (2) years clinical experience.- Experience in PACE, GAFC, Dementia, Elders, Persons with Disabilities, or Community Health Services preferred.- Minimum of one (1) year supervisory experience preferred.- Must maintain nursing license in good standing.- Must maintain CPR certification.