We are seeking an experienced and compassionate Registered Nurse Case Manager to join our home health team. This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed.

Key responsibilities include conducting comprehensive assessments, developing and overseeing individualized care plans, coordinating with physicians and interdisciplinary team members, monitoring patient progress, and adjusting care plans to achieve optimal outcomes. The RN Case Manager serves as the primary point of contact for patients and families, providing education, support, and advocacy throughout the episode of care. The ideal candidate demonstrates strong clinical expertise, exceptional organizational and communication skills, and the ability to manage a diverse caseload independently while maintaining compliance with regulatory and documentation standards.

Location:

Malden, MA and surrounding areas, including Reading, Lynnfield, Everett and Revere!

Hours: Full-Time, Days, 40 Hours/week

Minimum Qualifications:

1. Massachusetts/New Hampshire RN Licensure.

2. Valid state issued Driver’s License.

3. One (1) year of acute medical/surgical nursing experience.

4. Cardiopulmonary Resuscitation (CPR) Certification.

Responsibilities:

• Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures.

• Assesses patient/family learning needs, style and limitations and adjusts for delivery of information.

• Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team.

• Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge.

• Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies.

• Reconciles medications with patient and physician consistently.

• Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.

• Effectively manages assigned caseload, within the team model of care delivery.

• Establishes a daily work plan based upon patient/family priorities of service and total area needs.

• Promptly triages patient visits, messages, and phone calls according to priority and urgency.

• Demonstrates excellent physical assessment and care planning skills.

• Demonstrates current knowledge of pharmacology and medication administration and reconciliation.

• Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.

• Effectively manages assigned caseload, within the team model of care delivery.

• Establishes a daily work plan based upon patient/family priorities of service and total area needs.

• Promptly triages patient visits, messages, and phone calls according to priority and urgency.

• Coordinates care and discharge planning with other team members during case conferences.

• Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided.

• Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed.

What We Offer

• Competitive salaries & benefits

• Medical, Dental and Vision benefits start day one

• 403(b) retirement with company match

• Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development.

• Opportunities for career growth

• Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field.

• Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes:

  • AVADE de-escalation and self-safety training

  • InvisaWear GPS-enabled safety devices

  • Escort services to ensure staff safety in the field

About Care at Home:

Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time.

About Tufts Medicine

A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being.

Tufts Medicine is an equal opportunity employer

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

Pay Range: