RN, Clinical Eligibility

NeighborHealth•Revere, MA

1d•Onsite

About The Position

NeighborHealth, formerly East Boston Neighborhood Health Center, is a large community health center serving the greater Boston area with a commitment to patient and community health. This role is responsible for completing the Minimum Data Set (MDS) for prospective PACE enrollees and for the ongoing annual renewals of all current enrollees. The position is full-time and part of the PACE Community Care department, located at 300 Ocean Avenue – Revere.

Requirements

Graduate of an accredited RN program; BSN preferred.
Current Massachusetts license in nursing.
Current BLS certification required.
Exceptional triage assessment skills.
Ability to communicate assessment findings efficiently, effectively and accurately in verbal and written formats.
Bilingual a plus.

Responsibilities

Review Profile, Sales Plan & Medical Record of potential enrollee.
Assess medical records for documented diagnosis, medications, physical and mental status.
Contact potential enrollee to explain & reinforce the purpose of visit and schedule appointment.
Visit potential enrollee and gather information to validate medical records and to complete MDS.
Complete the MDS, sign, and have provider review and co-sign.
Enter MDS information into Virtual Gateway.
Upon collaboration with enrollment team for enrollment date, enter home care referrals into EPIC.
In accordance with MDS due date log, review medical record of participants that are due one month prior to anniversary date.
Collaborate with primary nurse to validate information gathered from medical record.