Title: Healthcare Coordinator
Department: Residential Services
Hours Expected: 20-40 hours per week
Expected schedule: Monday through Friday, 6 hours per day
Reports directly to: Residential Nursing Supervisor
Nonexempt
Summary: Registered Nurse in this role provides compassionate care to adults with developmental, intellectual and/ or physical disabilities. The Nurse will provide care coordination and clinical oversight. This role will work with individuals in various Residential homes.
Health assessment and monitoring
- Completes initial record review for each new individual to identify health needs. This includes new referrals
- Monthly reviews the health status of assigned individuals through observation, interviews and documentation.
- preventative screening, annual vaccines
- Follows up with doctor’s office for test results and health related data.
- Completes an annual health assessment for assigned individuals’ ISP
- Reviews health-related data from skilled assessments, labs, doctor visits and patient portals and documents updates on SharePoint.
- Assess individuals' ability to self-medicate and provide appropriate guidance.
- Conduct on-site health assessments and treatments as needed.
- Provide support to other homes or individuals outside primary assignment as directed by the Residential Nursing Supervisor or Residential Director
Health Care Coordination and oversight.
- Confers with medical, administrative, and other staff to determine individuals’ health needs.
- Create and revise clinical health care protocols for assigned individuals.
- Consults on health services and adjusts care and services in conjunction with providers as needed. This includes PT, OT, Speech, Dietician, Hospice etc.
- Ensures effective implementation of the Health Care Regime through staff training and evaluation of competency.
- Maintains and coordinates components of health care to be in compliance with survey and certification, MAP, state, federal and DDS regulations.
- Respond to health/ safety emergencies and ensure proper referrals. This includes participating in risk meetings with the management team and DDS.
- Ensures appropriate follow-up after individuals’ hospitalization, communication with hospitalists and coordinating transition of care during discharge. Follows up for compliance on post-discharge referrals like VNA and specialists.
- Consult with the manager on complex medical appointments and case conferences as needed.
- Ongoing assessment on the need for healthcare equipment, communicate need for PT/OT referral
- Complete the health-related supports and protective equipment authorization form and share with the assigned manager.
Communication and team collaboration
- Consults with individuals, families, guardians, house managers and staff to address needs and care strategies.
- Establishes and maintains strong communication with managerial and supervisory staff. Collaborates with management to resolve issues impacting individuals’ health and quality of life.
- Complete required health care documentation for ISP meeting. Consult with manager on potential healthcare related ISP goals prior to meeting.
- Participates in house meetings, medication review meetings and nursing meetings.
Education, Training and Staff Support
- Functions as a health care resource for staff, individuals, families and guardians.
- Assess the need for new training or re-training and coordinate trainings.
- Collaborate with the training department to ensure training compliance and documentation of training on electronic platform (SharePoint).
- Enhances individuals’ health and independence through education and quality interaction.
- Provides training on specialized clinical protocols, e.g. G-Tube, catheter, O2, etc.
- Participates in in-services training and keeps current with healthcare trends and licensure requirements.
- Conduct MAP training and MAP recertifications, as needed and to fulfill MAP TTT requirements.
- Attend educational seminars provided through DDS e.g. Annual RN conference
Professionalism and Ethics
- Acts a positive role model
- Participates in continuing education
- Performs other related duties as assigned
- Interpersonal Skills: Builds positive relationships and communicates effectively across all levels.
- Teamwork & Cooperation: Works collaboratively with team members and leadership to achieve goals.
- Dependability: Completes responsibilities with accuracy and reliability.
- Communication: Clearly conveys information in both individual and group settings.
- Planning & Organization: Prioritizes multiple tasks efficiently and adapts to changing conditions.
- Initiative & Problem-Solving: Demonstrates self-reliance and critical thinking in decision-making.
- Management & Leadership: Leads, by example, supporting and enforcing agency policies.
- Data Collection & Reporting: Gathers, compiles, and presents accurate reports in a timely manner.
Qualifications
- Education: Registered Nurse
- Licensure: Active Registered Nurse (RN) license in Massachusetts.
- Experience: Minimum one year of nursing experience in a healthcare facility, school, or community setting.
- Preference for experience with developmental disabilities, nursing homes, or DDS/DPH regulations.
- Training Certification: Ability to obtain Medication Administration Program (MAP) Trainer Certification within six months of employment.
- Legal & Compliance: Must authorize Criminal History Background Check (CORI) and release information from DPPC, DDS, and other regulatory agencies.
- Physical Ability: Capable of performing essential job duties, with reasonable accommodation as needed.
- Driver’s License & Transportation: Valid Massachusetts driver’s license and access to reliable transportation.
- Technical Skills: Proficient in Microsoft Office applications, SharePoint, Outlook, Teams and electronic health records (EHR).
Physical Demands/Work Environment:
- Ability to provide direct care in activities of daily living (bathing, dressing, eating, toileting, and continence, transferring and mobility) as needed.
- Ability to lift, push and pull up to 50 pounds.
- Ability to assume and maintain a variety of postures (kneeling, squatting crawling, sitting, and standing) for extended periods of time.
- Ability to safely operate a motor vehicle and accessible van lift.
- This role uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
- Safely transport oneself to and from appointments and other scheduled meetings.
Professional Development/Training Offered:
- Complete required Continuing Education Units to maintain Nursing Licensure.
- Minimum of 20 hours of training (both live and/or online) annually as assigned by supervisor, including required CEU hours.
- Complete Medication Administration Program Train the Trainer Program within 90 days of hire.
- Hold and maintain certification in CPR and Safety Care
Job Types: Full-time, Part-time
Pay: $40.00 per hour
Expected hours: 20.0 – 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Referral program
- Retirement plan
Experience:
- Group home: 1 year (Preferred)
- MAP: 1 year (Preferred)
- Nursing: 1 year (Required)
License/Certification:
- Driver's License (Required)
- Registered Nursing license in the state of MA? (Required)
Work Location: In person
