Nurse Care Manager- CBHC

Behavioral Health Network (BHN) is a leading statewide provider of behavioral health services and a Certified Great Place to Work. Since 1938, BHN has helped individuals, families, and communities thrive through compassionate, high-quality care and support. With deep roots in Western Massachusetts and a growing presence in communities throughout the state, we are currently seeking a Nurse Care Manager to join our CBHC (Community-Based Health Center) Care Management team and help advance our mission of empowering people to live healthier, more fulfilling lives.

• Purpose-Driven Work
  - Make a meaningful impact in the lives of individuals, families, and communities throughout Western Massachusetts.
• Professional Growth
  - Access ongoing training, mentorship, career development, and advancement opportunities across one of the region's largest behavioral health organizations.
• Supportive Team Culture
  - Join a collaborative workplace guided by our HEART values:
  Humanity, Empowerment, Accountability, Respect, and Teamwork.
• Stability & Opportunity
  - Build your career with a well-established organization serving Western Massachusetts since 1938.
• Comprehensive Benefits
  - Generous PTO, 403(b), educational assistance, medical, dental, vision, employee assistance programs, and more.
• Certified Great Place to Work
  - Work for an organization recognized for creating a positive and engaging employee experience.

• Serve as a strong advocate for individuals served, ensuring their voices are heard and their needs are met, while promoting their autonomy and self-determination.
• Secure appropriate services for individuals served and monitor the progress of services to ensure quality care.
• Identify safety issues and take appropriate measures to ensure individuals served's safety and well-being in consultation with supervisor, program leadership, and/or Emergency Services.
• Build and maintain strong relationships with community partners, including social service agencies, healthcare and behavioral health providers, and other relevant organizations.
• Complete and maintain accurate and timely documentation of interactions, progress, and referrals, and complete necessary reports for funding agencies and stakeholders.
• Work to reduce utilization of higher levels of care when appropriate, and support the transition of individuals served from inpatient settings back into the community.
• Review initial and annual MDS assessments in collaboration with the care team to identify health needs, safety concerns, and gaps in care.
• Implement care plans that reflect individual preference and lead to improved quality of life, in collaboration with individuals served and assigned Care Coordinators.
• Provide care management services, including post-hospitalization follow-up and medication reconciliation.
• Provide outreach to individuals served in the home, office, or community to assess and address health needs and facilitate improved health outcomes.
• Perform a minimum of one monthly face-to-face outreach visit per assigned caseload.
• Evaluate individuals served' medical history and diagnoses for accuracy, and assess health needs, history, and existing support networks.
• Assist the care team in creating person-centered care plans and scheduling appointments as needed.
• Educate individuals served and their families/supports on relevant health-related matters.
• Monitor outcomes and collaborate with medical and/or behavioral health providers to ensure continuity of care.
• Become familiar with CBHC policies & procedures and adhere to any updates or changes.
• Consult with community agencies, providers, and informal supports to maintain coordination in the treatment process.
• Submit referrals and/or authorizations to request services indicated by medical and/or behavioral health needs and care plans.
• Provide formal and informal training to the care team regarding health/medical issues facing individuals served.

• High School Diploma or GED required.
• Registered Nurse license required.
• 1-2 years' work experience in a related behavioral health, human services, and/or medical field required.
• Demonstrates cultural and linguistic competence in working with individuals of diverse cultural backgrounds and linguistic needs.
• Demonstrates genuine care and concern for individuals served, acknowledging their struggles and validating their experiences.
• Ability to provide support without judgment, recognizing that each individual's situation is unique and complex.
• Knowledge of and ability to…