Home Health RN Case Manager

About Abby Care

Our mission is to redefine care for the most vulnerable families. We are transforming home health through purpose-built, thoughtful technology and a unique care model with families at the core.

What makes us the home health provider of the 21st century:

• Digital health integrations - We innovate to give our clinical teams superpowers. We build technology to decrease clinical administrative work and to improve the measurement of health outcomes.
  
• Clinical excellence - We strive to deliver the best-in class care to our families. Our culture encourages clinical growth and emphasizes quality in all our clinical processes.
  
• Family training and support - We believe that family care is key to a patient's wellbeing and health. Our care model incorporates family support into care plans.

The Role

We're looking for a passionate Registered Nurse to join our team as a RN Case Manager. This role will report into the Director of Nursing in Massachusetts. This is a Full-Time Hybrid opportunity based in Springfield, MA. 

The RN Case Manager at Abby Care is responsible for overseeing the comprehensive care and coordination of services for patients within their caseload. This role requires a nurse with excellent organizational skills, strong communication abilities, and a dedication to providing high-quality patient care. The RN Case Manager will work closely with patients, families, Primary Care Physicians (PCPs), therapy providers, and internal support teams to ensure optimal patient outcomes.

Key Responsibilities:

• Patient Care and Coordination:
  • Manage a diverse caseload, ensuring quality patient care and efficient care coordination.
  • Provide coaching, oversight, and support to Certified Nursing Assistants (CNAs) to ensure high-quality patient care and adherence to clinical standards.
  • Develop and implement individualized care plans based on patient assessments and goals.
  • Coordinate with PCPs, therapy providers, and internal support teams to ensure comprehensive care.
  • Provide education and support to patients and families regarding their health care needs and treatment plans.
• Clinical Documentation:
  • Maintain accurate and timely electronic charting, with a preference for real-time documentation.
  • Ensure all documentation meets regulatory and Abby Care standards, with a minimum of 24-hour turnaround time.
• Communication and Collaboration:
  • Establish and maintain effective communication with PCPs, therapy providers, and internal support teams.
  • Escalate appropriate issues to Clinical Leads in a timely manner, such as order management and patient concerns.
  • Participate in on-call rotation (approximately one weekend per month), holiday rotation, and possible phone triage night coverage during weekdays.
• Quality Assurance:
  • Achieve caregiver satisfaction by providing high-quality, compassionate care and support.
  • Monitor and work to improve patient readmission rates.
  • Ensure extended visits remain within acceptable ranges and administrative tasks (e.g., mileage reimbursements) are completed thoroughly.

The Requirements

• An Associate's Degree or A Baccalaureate School of Nursing Degree
• Current and valid license as a Registered Nurse in the state of Massachusetts os required
• 2 years of experience as a Registered Nurse in a clinical setting; 1 year of home health experience preferred
• Case management/supervisor experience and pediatric/adult care experience preferred
• Reliable transportation, valid driver's license, and current auto insurance required
• Knowledge of OASIS preferred (training provided if needed)

Who We're Looking For

This role would be a fit for you if you have the following:

• Compassion: A deep commitment to providing empathetic and patient-centered care.
• Integrity: Upholds the highest standards of ethical and professional behavior.
• Resilience: Ability to remain positive and motivated in a dynamic and challenging environment.
• Team Player: Collaborative and supportive, with a strong focus on team success.
• Continuous Learner: Open to feedback, willing to learn, and committed to ongoing professional development.

Our Value Prop to You

• Competitive compensation with sign-on bonus, and benefits. Our clinicians are a critical part of our team, and we strive to reflect this through pay and benefits. 
  
• Environment for advancement and growth. You will have the opportunity to drive great impact and gain exposure to all functions of the company. Nursing is our core competency, and we will support you with resources for you to focus on caring for your patients. You can flex multiple realms of your skillset and creativity.
  
• Be at the forefront of innovation. We are leading the change in home health and always think of how we can improve for our families. 
  
• An energizing, compassionate team. Our team cares deeply about each other. We strive to elevate and uplift each other in our day-to-day work to do the best for our families. We don't believe in bureaucratic nonsense.
  
• Supporting your wellbeing. We provide benefits to allow you to do your best work:
• Competitive medical, vision, dental, 401K, and life insurance
• Work from home options
• Tools for tele-health, such as a MacBook and iPad
• Generous paid-time-off (PTO), company holidays, and paid parental leave
• Paid company trips and team bonding retreats

This is a Full-Time role with an estimated salary range of $78,000-$82,000 annually + bonus and benefits.