Job Description

POSITION : Nurse Case Manager

SUPERVISOR: Charge Nurse/Nursing Manager

FLSA STATUS : Non-Exempt

Compensation: $33-$44 hourly DOE

SUMMARY OF RESPONSIBILITIES:

Candidates must demonstrate the ability to assist with planning and leading health-related activities. Must be sensitive to the needs of memory loss elders of all socioeconomic backgrounds and have the demonstrated ability to work cooperatively as a multi-disciplinary team member.

REQUIRED EDUCATION/EXPERIENCE/QUALIFICATIONS:

Licensed to practice in Massachusetts.

Bachelors degree in human services or a related field from an accredited college or university and at least one year of relevant and recent experience working with adults in a professional capacity required for case management.

Minimum of one-year direct service experience with the elderly or the chronically disabled.

Minimum of one-year direct service experience working with individuals with memory loss and/or Dementia.

Demonstrated ability to assist with planning and leading health-related activities.

Strong communication organizational and documentation skills.

Must be sensitive to the needs of memory loss elders of all socioeconomic backgrounds and have the demonstrated ability to work cooperatively as a multi-disciplinary team member.

SPECIFIC RESPONSIBILITIES:

Clinical/Nursing Responsibilities

• Develop monitor implement and evaluate the treatment and care plans for each participant.
• Participate in the ongoing monitoring of each participants health status through direct contact with physicians other nurses health professionals and family members.
• Carry out the physicians orders for each participant including monitoring vital signs administering medications monitoring blood sugar and implementing treatments. Will coordinate these orders with family and/or other health care providers. Will maintain good follow-up communication with caregivers and physicians.
• Implement and supervise restorative therapy treatments as recommended by physical speech and/or occupational therapists.
• Assist monitor and instruct participants program assistants and all staff who assist with personal care on matters of personal hygiene the use of special aids accident prevention and ambulation and transferring skills.
• Supervise program assistants that provide personal care and other daily tasks.
• Provide health education/training on an individual and group basis as well as during scheduled monthly clinical groups.
• In conjunction with Program Manager responsible for documentation of initial health assessment care plans monthly nursing notes MDS and reassessment forms.

Case Management/Social Service Responsibilities

Serve as primary advocate for participants and caregivers coordinating services to support social emotional and health-related needs.

Develop implement and update individualized social service care plans progress notes and discharge plans as required by regulations.

Coordinate services with other agencies caregivers and health providers to ensure continuity of care.

Conduct family and care planning meetings; participate in interdisciplinary and clinical meetings.

Provide counseling crisis intervention and behavioral support as needed.

Assist participants and families in accessing benefits and community resources when no other advocate is available.

Lead or co-lead group discussions caregiver education and support sessions.

Assist with admission functions including referral management tours guest days and eligibility assessments in collaboration with nursing staff.

General Program Responsibilities

Participate in interdisciplinary case conferences and weekly clinical meetings.

Assist participants as needed with Activities of Daily Living (ADLs) in accordance with care plans.

Maintain current knowledge of community resources and regulatory requirements.

Ensure all care and documentation meets DPH and DMA standards.

Work collaboratively with the Program Director and team to ensure quality of care participant satisfaction and program compliance.

Perform other related duties as assigned to meet program needs.

Work schedule and conditions

This position may occasionally require flexibility in schedule to meet participant needs or program demands. Advance notice will be given when possible.

Core Competencies

Participant-centered care

Clinical and psychosocial assessment

Interdisciplinary collaboration

Crisis intervention

Compliance and documentation accuracy

Ethical and professional conduct

Functional Requirements:

• Standing: 34% to 66% of the time
• Crouching: 34% to 66% of the time
• Walking: 34% to 66% of the time
• Reaching/working overhead: 34% to 66% of the time
• Balancing: 34% to 66% of the time
• Pushing: 34% to 66% of the time 10-50 pounds
• Stooping: 34% to 66% of the time
• Pulling: 34% to 66% of the time 10-50 pounds
• Kneeling: 34% to 66% of the time
• Lifting/carrying: 34% to 66% of the time 10-50 pounds

Required Experience:

Manager

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