RN Case Manager

RN Case Manager - Full Time

Schedule: 9am-5:00 pm (flexibility needed)

Pay Rate: $43.50

Come grow with us and find your path to Opportunity!!

People Incorporated is a human service Agency serving the Southcoast community, including the Greater Fall River, New Bedford, and Taunton areas. As a partnership of specialized, integrated programs, we provide unique opportunities to people with life challenges. Since our inception in 1968, we have been one of the largest providers of supports and services to people of all abilities in the community.

Our Residential Program is looking for a dynamic and detail oriented RN Case Manager to support the Agency’s 24 hour, Residential Program as regulated by the Department of Developmental Services (DDS) by providing nursing oversight of assigned caseload ensuring program individuals receive premier services and achieve optimal health. Responsible for providing daily and/or as needed nursing case management to individuals including but not limited to, coordination of healthcare appointments, regular monitoring of medications and Medication Administration Program (MAP) compliance, oversight of annual health and wellness screenings, coordination of care during hospitalizations and assisting managers with the discharge process, providing medical/health updates to the individual’s support team, providing staff education/trainings relating to MAP, and ensuring complete and accurate medical/healthcare documentation and follow up. Additionally, this position will provide nursing triage and assessments during regular hours and during after-hours rotation.

ESSENTIAL FUNCTIONS:

Case Management

• Monitor the general health and well-being of program individuals and engage in appropriate follow-up to ensure individual health needs are met.
• Conduct nursing assessments on individuals as needed.
• Conduct routine healthcare audits to ensure individuals receive all recommended preventative care in alignment with DDS Adult Screening Recommendations.
• Assist with healthcare communication between healthcare providers, families, DDS, and other stakeholders, as necessary.
• Assist program management in preparation of medical components of Individual Support Plans (ISP) meetings and participate in healthcare-related discussion during these meetings.
• Collaborate with program management to ensure healthcare orders, Medication Administration Records, healthcare protocols/guidelines, and all other documentation remains in compliance with all applicable laws, policies, and regulations, at all times.

• Collaborate with program management to ensure appropriate stock of medication, and maintain up-to-date Medication Treatment Plans and Supportive and Protective documents, when indicated.
• Collaborate with program management to ensure individual Healthcare Records (HCRs) are accurate and remain up-to-date in the Home and Community Services Information System (HCSIS).
• Collaborate with program management to prevent falls via fall prevention program.
• Collaborate with program management during hospital admission and discharge process and coordinate care to ensure individuals receive appropriate healthcare follow-up and advocacy.
• Identify potential need in creation of healthcare proxy, indication for change in medical code status, or beneficial services such as palliative or hospice care.
• Provide training and education to staff specific to healthcare needs and MAP-related items.
• May be required to use employee’s personal vehicle for work purposes.

General Nursing Duties

• Provide after-hours on-call triage and/or telehealth to provide medical support to individuals to reduce unnecessary hospital and emergency room visits, (Non-relief positions).
• Participate in the admission process for new referrals into the Residential Division homes.
• Conduct periodic infectious disease testing as needed.

COMPLIANCE-RELATED FUNCTIONS:

• Follow all MAP requirements effectively and efficiently.
• Conduct routine audits reviewing for compliance with MAP, including but not limited to, healthcare provider orders, Medication Administration Records, pharmacy labels, countable medication book, and medication disposal records.
• Conduct routine audits on individual healthcare-related documentation to ensure complete/accurate nursing assessments and healthcare records, including, but not limited to, healthcare provider encounter forms, lab/diagnostic test documentation, hospitalization records, and medical progress notes.
• Adhere to all Human Rights.
• Participate in all staff meetings and required training sessions, including in-service training, as scheduled.
• Maintain all progr