Registered Nurses - Home/Field Position

The position described below is a job profile that is generally representative of possible future openings at LifeMasters

 

Join a dynamic, growing high-tech/high-touch healthcare organization that makes a unique contribution to the lives of hundreds of thousands of individuals.



ABOUT LIFEMASTERS:
LifeMasters Supported SelfCare, Inc. is an exciting national disease management company whose mission is to help individuals achieve and maintain optimal health by closing the gaps in medical care and encourage the adoption of healthy lifestyles. With more than a decade of experience, we are experts at delivering disease management services to individuals with chronic diseases such as diabetes, cardiovascular disease, respiratory disease, musculoskeletal conditions and their co-morbidities.

POSITION SUMMARY:

Under general supervision, the Community Services Registered Nurse – Care Manager (CSRN’s) role is to provide face-to-face nursing care planning, case management and education to a participant caseload using established ethical, professional, nursing and corporate frameworks and appropriate support to community-based disease management services in the assigned area.  Incumbent develops an individualized, educational plan of care for each participant with long and short term goals, routinely assesses the need for plan changes based on participant needs, and is accountable for participant management while the participant is enrolled in the LifeMasters disease management program and acts as a participant advocate, coach, educator and motivator.  The CSRN must be culturally sensitive to the local population and job responsibilities include locating and linking participants with the health care services, social services, community organizations, and sometimes back to LifeMasters call center Clinical Nursing Consultants (CNCs), providing or coordinating translation services, and supporting coordination of care and disease management activities.  Works with information of a confidential nature and communicates with team members and the participant/family in decision making.  Provides support as required to other departments to promote LifeMasters services and performs special projects and other duties as assigned.

 

PRIMARY JOB DUTIES:

Complete initial screening of participants for assessment of frailty, cognition, nutrition, depression, social and clinical needs.  Specific assessment tools used are Identification of Seniors at Risk (ISAR) Screening Tool for safety, TICS-m for cognition, Beck Depression Screen (7 questions screen) for depression and Nutrition Screen.

 

Conducts home safety assessment of participant home living environment.

 

For the assigned participant case-load, the incumbent will conduct regularly scheduled visits to develop and monitor care plans, educate, coach and monitor participant compliance and participation in disease management program(s).

 

Identifies appropriate follow-up services for participants that screens positively.  Arrange for any additional in-home clinical and social services that may be required.

 

Conduct follow-up as well as initial face-to-face evaluations of participants and their living situations.  Such evaluations may include a follow-up for possible suitable participants who do not pass certain thresholds conducted via a telephonic screening assessment.

 

Works closely with participant physicians to facilitate communication and doctor orders for patient education.  May visit physician offices to follow up with doctors on participant issues.

 

Must pay strict attention to follow all HIPAA requirements and LifeMasters company policies regarding the security and privacy of Protected Health Information (PHI) and related internal and external security measures of the same.  Must follow and comply with all company policies and procedures in the execution of job duties.

 

PERFORMANCE REQUIREMENTS:

·  2 + years Registered Nurse experience; home healthcare and case management preferred.

·  Clinical experience in Cardiac and/or Diabetes preferred.  Behavioral health experience preferred.  Some locations may require experience to include geriatric or indigent,  care.

·  35 wpm typing & solid computer skills required (knowledge of how to use drop down menus, a mouse, maximize and minimize screens, switch between open windows and programs, tab functions, and cut and paste feature)

·  Understanding of managed care and disease management from a clinical, contracting and wellness perspective preferred.

·  Demonstrated ability to effectively educate adult learners.

·  Ability to interact effectively with internal/external contacts, including physicians, nurse practitioners, participants, technical and clerical staff, etc.

·  Participant education program management, quality improvement team membership or prior business experience preferred.

·  Excellent communication skills, verbal and written, and ability to communicate effectively with individuals from various professional and non-professional backgrounds.

·  Ability to plan strategically, to organize and prioritize work, and to exercise initiative to meet deadlines.

·  Ability to maintain a high degree of concentration due to complexity and volume of work.

·  Ability to be flexible, proactive, and positive and respond to the dynamics of a changing environment.

·  Ability to view health care changes as opportunities.

·  Preferably reside in and share experience, language and/or culture of the community to be served.

·  Must have valid driver’s license, reliable transportation and required levels of liability insurance and automobile insurance coverage.

·  Excellent interpersonal skills and in-depth knowledge of the community served.

·  Bilingual Spanish or Creole may be req'd for some counties. 

 

EDUCATION REQUIREMENTS:

·  Graduate of accredited school of nursing

·  Must have taken the NCLEX in the U.S.

·  Current licensure as registered nurse within the state they will be employed with no restrictions

·  Bachelors or Masters Degree in Business or Nursing preferred.

 

Certificate/License: 

·  Current licensure as registered nurse within the state they will be employed with no restrictions

 

BENEFITS:
LifeMasters rewards its employees with a rich benefits package including; 20 days Paid Time Off, Paid Holidays, Medical/Dental/Vision, Cafeteria Plan, Life Insurance, AD&D, Short Term and Long Term Disability Insurance, 401k with Company Match, Flexible Spending Accounts, Domestic Partner Benefits, Education Assistance, Employee Assistance Program, Direct Deposit, Discounted Health Club Memberships, On-site Flu Shots and Health Fairs, and On-line Benefits and Payroll information.  LifeMasters recognizes and rewards the diverse needs of its workforce by offering most benefits to Employees who work a minimum of 20 hours per week and most benefits become effective the first day of the month following your date of employment.

LifeMasters offers a fun, caring and casual workplace.In addition, to our comprehensive benefits package, we provide professional development and opportunities for career advancement.  

 

AA/EOE/M/F/V/D