Clinical Care Manager (RN)
VinfenAbout the role
- Conduct comprehensive assessment of enrollees including the medical, psychiatric and social components.
- Review/sign off on medical component of comprehensive assessment
- Monitor enrollee's health status and needs and provide nursing and medical care coordination, including revising health related treatment goals and plans in collaboration with the enrollee and the Care Team.
- Coordinate the development, implementation, and ongoing review of the care plan.
- Conduct medication reviews and reconciliation including adjustment by protocol.
- Communicate and collaborate with ACO teams and serve as a team resource.
- Follow up of an enrollee's inpatient stay, (including hospital, shelter, substance abuse programs, SNF), and collaborate with enrollee, Care Team, and hospital staff to coordinate transitions of care.
- Collaborate and communicate with the enrollee's other medical, behavioral health and home-based providers regarding changes in services, hospitalizations, and other care needs and goals
- Obtain required Prior Authorization from Managed Care Plan (ACOs, MCOs) for relevant and necessary services.
- Perform other related duties, as assigned.
- A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan
- First-rate Medical, Dental and Vision plans that are open to all employees scheduled to work 30 hours per week or more. Plus, we offer a generous employer contribution toward the cost of medical insurance!
- Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance
- Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance
- Flexible Spending Accounts (Health and Dependent care)
- Voluntary Term, Whole Life, Accident and Critical Care Insurance
- Generous paid time off (Employees scheduled to work 20 hours or more per week):
- 15 days of Vacation per year
- 12 Paid Holidays
- 10 Sick Days per year
- 3 Personal days per year
- Educational Assistance and Tuition Remission Programs
- $500 Employee Referral Bonus with no annual cap!
- Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more
About Us
Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,200 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in 318 programs throughout Massachusetts and Connecticut. For more information about Vinfen, please visit www.vinfen.org/careers
My Job. My Community. My Vinfen.
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