Registered Nurse Case Manager - Sign on Bonus Eligible!
High Point & Affiliated Organizations · Plymouth, MA · 1 mo ago
Healthcare$79k–$96k/yrFull-time
About the role
Nurse Case Manager - Sign on Bonus Eligible!
Responsibilities
- Compliance with the Federal Regulations, 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patients and HIPAA Regulations;
- Compliance with DPH, DMH, Joint Commission, DEA and all other regulatory agencies as required;
- Knowledge of ASAM criteria;
- Monitoring of patient needs related to filling practitioner orders, administration of medications, monitoring vital signs, coordinating medical care, monitoring withdrawal (COWS/CIWA);
- Assist with medication prior authorizations;
- Assist with laboratory (blood) draws, supply monitoring, and sample handling;
- Assist with urine drug screening, ordering of labs, and results reporting to practitioner;
- Complete case coordination activities to ensure medical care coordination, including: PCP contact within 72 hours of new intakes and every 6 months, obtaining last physical report (as available), contact with patient within 72 hours post-hospitalization, contact with patient 24 hours post-ER visit when notified, medication reconciliation upon intake, and other care coordination activities as assigned by Program Director/Clinical team;
- Assist with discharge planning and medical care coordination activities;
- Provide brief crisis counseling, individualized risk management and safety planning;
- Provide psychoeducation to both patients and staff related to medical/nursing areas of expertise;
- Ensure patient care is meeting best practice standards;
- Ensure compliance with all governing regulations and payor guidelines;
- Ensure compliance with High Point policies and procedures;
- Participate in the recruitment, hiring, promotion, training, and evaluation of nursing staff;
- Assist in developing nursing and medication records on each patient;
- Reviews and makes recommendations regarding policies and procedures;
- Reports to Infection Control Committee as needed;
- Assist in monitoring inventory, ordering of medications, and equipment needed for daily operation of the unit in collaboration with the pharmacy;
- Responsible for the fiscal management i.e. nursing budge for the unit;
- Participate in quality assurance and implementing quality improvement planning, including Tally Card, CQI and/or failure mode projects;
- Reviews Incident Reports and Sentinel Events, as required;
- Provide supervision for nursing staff, medical assistant/CNA personnel;
- Participate in all required committee meetings;
- Responsible for the proper disposal of medications;
- Responsible for the scheduling of nurses in order to maintains adequate nursing staffing patterns in order to manage the day-to-day operation of the unit;
- Maintains both open and closed charts for correct and complete documentation;
- Assists in the development and monitoring of programming schedules;
- Attends monthly Nurse Managers meeting to maintain consistency in nursing practice;
- Attend mandatory training to update knowledge base and enhance both professional and personal growth;
- Other duties as assigned by the Director of Nursing, Site Director of CBHC Services/ COO to insure safe and appropriate operation of the program(s).
Requirements
- Must present as courteous and professional at all times.
- Demonstrated flexibility and ability to perform multiple tasks.
- Must have excellent communication skills, including the ability to organize ideas in logical and clear fashion.
- Must have the ability to work with others in cooperative and collaborative manner.
- TB screening
- Certification in the HPAO approved de-escalation program
- Strong and effective verbal, written and organizational skills
- Knowledge of basic computer skills and software programs including the ability to learn, use and train HPAO`s electronic medical records
- Ability to provide leadership and program development within an outpatient site
- Knowledge of major clinical therapeutic models and behavioral health best practice
- Strong organizational, verbal and written communication skills.
Qualifications
- Five to eight years of direct care experience is recommended within a behavioral health &/or substance use disorder treatment setting
- Two years supervisory experience preferred
- Current & unrestricted license in Massachusetts as a Registered Nurse