Nurse Case Manager- Adult Day Care

Non-exempt position, reporting to the Charge Nurse/Nursing Manager.

Pay

$32–$44 hourly, based on experience.

Requirements

• Active Massachusetts nursing license.
• Bachelor’s degree in human services or related field from an accredited college or university.
• At least one year of recent, relevant professional experience working with adults in a case-management capacity.
• Minimum one year of direct-service experience with the elderly or chronically disabled.
• Minimum one year of direct-service experience with individuals who have memory loss and/or dementia.
• Demonstrated ability to plan and lead health-related activities.
• Strong communication, organizational, and documentation skills.
• Sensitivity to the needs of elders from diverse socioeconomic backgrounds and ability to collaborate across disciplines.

Responsibilities

Clinical/Nursing

• Develop, monitor, implement, and evaluate individualized treatment and care plans.
• Participate in ongoing health-status monitoring through direct contact with physicians, other nurses, health professionals, and family members.
• Carry out physician’s orders: monitor vital signs, administer medications, check blood sugar, implement treatments, and coordinate follow-up with caregivers and physicians.
• Implement and supervise restorative-therapy treatments recommended by physical, speech, and/or occupational therapists.
• Assist, monitor, and instruct participants, program assistants, and staff on personal hygiene, use of special aids, accident prevention, and ambulation/transferring skills.
• Supervise program assistants who provide personal care and daily-task support.
• Provide health education and training on both an individual and group basis, including scheduled monthly clinical groups.
• Document initial health assessments, care plans, monthly nursing notes, MDS, and reassessment forms in conjunction with the Program Manager.

Case Management/Social Services

• Serve as primary advocate for participants and caregivers, coordinating services to meet 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 sessions, and support groups.
• Assist with admission functions: referral management, tours, guest days, and eligibility assessments in collaboration with nursing staff.

General Program

• Participate in interdisciplinary case conferences and weekly clinical meetings.
• Assist participants 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.

Functional Requirements

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