Clinical Support Registered Nurse

VITRA Health•Boston, MA

8d•$38 - $48•Onsite

About The Position

Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Clinical Support Registered Nurse who is passionate about quality, client-centered care, community engagement and helping people access the care and resources they deserve. As a Clinical Support Registered Nurse, you will provide clinical support to clients and caregivers in their homes and in the community. You will focus on quality, health education, care coordination, chronic condition management, and connecting clients with appropriate healthcare and community resources, while ensuring that all client visits and documentation meet MassHealth program regulations and insurer requirements. In this role, you will advocate for clients, promote safe and effective care at home, and support ongoing care planning through direct engagement and coordination with interdisciplinary teams.

Requirements

Active Registered Nurse (RN) license in Massachusetts (required)
Minimum of 2 years of recent experience working with older adults or individuals with disabilities in a clinical, home health, case management, or related setting
Strong communication, interpersonal, and client engagement skills
Proficiency with electronic medical records and basic technology tools
Valid driver’s license and reliable transportation required for travel to client homes and community settings

Nice To Haves

Experience with care coordination, patient education, or case management preferred
Bilingual skills (English and a second language) strongly preferred

Responsibilities

Supports scheduled monthly client visits to provide caregiver education, monitor client status, and assess psychosocial and environmental changes
Support semi-annual care plan reviews, updating goals and interventions in coordination with nursing and interdisciplinary teams
Provide education on health maintenance, preventative care, chronic disease management, and medication adherence
Support clients and caregivers in navigating healthcare systems and accessing community-based services and resources
Participate in multidisciplinary care planning, case reviews, and discharge planning
Identify and address changes in psychosocial status or care needs and escalate concerns as appropriate
Collaborate with internal teams and external providers, including PCPs and specialists, to coordinate care
Maintain accurate, timely, and compliant documentation in accordance with regulatory standards
Communicate professionally with clients, caregivers, and healthcare partners in person and through phone and electronic platforms
Participate in team meetings and contribute to ongoing care coordination efforts
Ensure all client visits are scheduled, conducted, and documented in compliance with MassHealth program regulations and applicable insurer requirements
Conduct quality checks and audits of client records, visit documentation, and care plans to verify accuracy, completeness, and regulatory compliance
Facilitates MDT meetings in collaboration with management and care teams
Perform additional duties within scope of practice as assigned
Foster a culture of customer service and commitment to quality care
Serve as a brand ambassador for Vitra reflecting our vision, mission, and values
Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members
Mentor and support team members