Nurse Care Manager Brockton

Overview

HSL offers enhanced housing and services to seniors at its four affordable housing locations and partner sites. The Nurse Care Manager supports residents to live independently, safely, and well by building relationships, delivering individualized case management, and coordinating care with the housing team and community providers.

• Partner with the Wellness Coordinator and the resident services team to provide comprehensive case management services to residents.
• Provide regular preventative outreach to all residents to check in on their needs and overall health and develop trusting relationships with residents and their families.
• Conduct wellness assessments of residents to assess risk and determine needs.
• Actively follow up on all identified needs, including finding resources, making referrals, and ensuring residents are actively engaged in services.
• Assess resident medical concerns and support residents with decision‑making regarding next steps (e.g., contacting PCP, going to urgent care, going to the ED, or seeing a specialist).
• Coordinate with primary‑care physicians, specialists, hospitals, mental‑health providers, and other community partners.
• Ensure effective communication around changes in status, transitions, and service utilization.
• Follow up on all hospitalizations, rehab stays, and emergency‑room visits.
• Work with families, hospitals, rehabs, HSL Home Care, VNA, ASAPs, and other providers to ensure safe discharges and ongoing services.
• Follow up regularly with at‑risk residents to support adherence to health‑ and wellness‑related activities, medication, and treatment plans.
• Conduct and/or coordinate group and individual education sessions on health and wellness, including medication management.
• Assess and keep track of the needs of residents with special needs such as dementia and mental health, and make appropriate referrals.
• Utilize collected data to identify, plan, schedule, and implement focused programs (e.g., falls prevention).
• Support and educate housing staff members about common medical conditions and how to identify and communicate status changes.
• Participate in resident‑services team meetings, provider meetings, and individual family meetings.
• Assist residents and family members with transitions to other levels of care when needed.
• Assist with specific resident needs such as taking vital signs, educating and assisting with Health‑Care Proxy and File‑of‑Life forms, arranging vaccine and other health‑focused clinics, and supporting residents in preparing for planned surgeries or medical tests.
• Document all work electronically in shared files and computer programs.

• RN with at least 1 year of experience OR LPN with at least 2 years of experience.
• 3 years of experience in aging services required.
• Home health experience and dementia care a plus.
• Excellent triage and critical‑thinking skills, including the ability to handle difficult situations.
• Compassion for and a desire to work with a senior population.
• Excellent organizational and interpersonal skills, with the ability to manage multiple projects simultaneously and work efficiently as part of a team.
• Excellent oral and written communication skills, with the ability to communicate respectfully, caring, and sensitively to residents, families, and staff.
• Motivated to learn and flexible/willing to change.
• Professional, proactive, collaborative, conscientious, and results‑oriented.
• Optimistic and positive demeanor, good intuition, and sound judgment.
• Ability to collect needed information and document clearly in electronic formats.
• Proficiency with Windows, Word, and Excel.
• Experience in aging services strongly preferred in community, home health, or long‑term care settings.

• Excellent medical and dental benefits available on the first day for positions over 24 hours per week.
• 403(b) retirement plan open to all employees, including per‑diems.
• Generous paid time off.
• On‑site health and wellness programming.
• Tuition reimbursement and scholarships.
• Employee recognition program.

On‑site. Salary range: $84,971.00 - $.

On‑site at an affordable housing community in Brockton, Massachusetts.