Registered Nurse Case Manager

  • Job Tracking ID: 512937-782395
  • Job Location: Fall River, MA
  • Job Level: Any
  • Level of Education: BA/BS
  • Job Type: Full-Time/Regular
  • Date Updated: October 05, 2021
  • Years of Experience: Any
  • Starting Date: ASAP

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Job Description:

SSTAR has an opening at our Health Center for a Registered Nurse Case Manager. This position will provide education and follow up care compliance for chronically ill patients.

Specific Responsibilities

  1. Work closely with health care team to establish Treatment and Educational Plan for patients with asthma/COPD, nicotine dependence, diabetes, hypertension, and other chronic diseases that is documented and implemented in the medical record.
  2. Nursing visits and education sessions with patients reviewing diagnosis, compliance of medical care and recommendations documented and implemented in the medical record.
  3. Track appointments, referrals, tests, and labs as determined by Standards of Care, for patients identified at high risk due to their illness.
  4. Work closely with navigators to refer patients to community partners, complex case management, and other community resources as needed or requested by providers.
  5. Track durable medical equipment requests and complete forms and referral to supply companies to ensure patients receive needed devices in a timely manner as well as educate patients how to use these devices as necessary.
  6. Work with the RN Case Management team to supervise emergency department/hospital discharges to ensure follow ups with RN or provider are scheduled and fulfilled appropriately based on medical need.
  7. Liaison between medical providers and patients - Refill prescriptions per nursing standing order or task providers for refills and other concerns as appropriate. Utilize patient portal wherever possible and support patient usage
  8. Maintain accurate patient records and patient confidentiality.
  9. Engage in professional development activities to keep abreast of case management practices and patient engagement strategies.
  10. Attend TQM meetings and support and assist QI RNs as needed with disease prevention and health promotion per quality measures.
  11. Perform spirometry testing with patients to determine pulmonary function and make recommendations for medications and referrals as appropriate.
  12. Other duties as required.

Experience and Skills:


  1. Current Registered Nurse Licensure.
  2. 2 years experience with direct nursing care or community setting.
  3. CPR Certification.

* At least two years continuous sobriety is required for people in recovery from drugs or alcohol

Job Benefits:

We offer a great benefit package including: Medical, Dental, Vision, Generous Personal/Vacation/Sick accrual system, Life Insurance, 403B Retirement Plan, Pet Insurance discount and AFLAC plans.