RN, Home Health Assessments (No Weekends)

Activate Care•Worcester, MA

2d•Remote

About The Position

This is a FULL-TIME or PART-TIME, FIELD/Commuting role where applicants should reside within MA to be considered. Offering shifts that work with your availability! No Weekends, no problem! About Activate Care: At Activate Care, we’re on a mission to improve health equity and drive improved health outcomes across the country. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN). Path Assist is our tech-enabled Community Health Worker program for addressing HRSN utilizing an evidence-based, structured intervention. Our goal is simple: address individuals’ unmet HRSNs, increase health confidence, improve self-efficacy, and reduce inappropriate healthcare spend. Role Overview: This community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. The role specializes in conducting timely, accurate assessments and documenting findings, then handing off to the health plan's care management team. This is assessment and documentation work, not ongoing care management.

Requirements

Active Registered Nurse (RN) or higher licensure (e.g., Nurse Practitioner) in good standing with the Commonwealth of Massachusetts.
Associate of Science degree in nursing from an accredited program is required (BSN preferred).
Valid driver's license, a personal vehicle, and verifiable insurance are required.
Minimum of 1 year of clinical experience in a home health setting.
Comfortable working independently in members' homes and managing a daily visit schedule.
Ability to document accurately and efficiently in an electronic platform via a secure virtual desktop.
Understanding of Medicare and Medicaid programs and the populations served.
Strong interpersonal and communication skills to engage members and families.
Ability to manage multiple assessments and priorities while maintaining attention to detail.
Awareness of and sensitivity to the diverse backgrounds and needs of the populations served.
Sound clinical judgment, decision-making, and problem-solving skills.
Basic proficiency with standard office and communication software.

Nice To Haves

BSN preferred.
Minimum of 1 year of experience completing assessments is preferred.
Prior experience with dual-eligible populations, Medicaid, or Medicare managed care is preferred.
Assessment-related certification (for example, RAC-CT) is preferred.

Responsibilities

Engage with members in their homes and other community settings to complete assessments, with mindfulness of the cultural and linguistic needs of each member.
Perform required assessments on a timely basis as assigned under the contract, including Uniform Core Assessments (UCA), Functional Assessments (FA), and Comprehensive Assessments, evaluating each member's physical, cognitive, and functional status.
Document assessments in the health plan's care management platform (GuidingCare) following the provided workflows and resource guides.
Send a SOAP note to the assigned health plan Care Manager upon assessment completion.
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit.
Complete required training and ongoing training to maintain system access.
Routinely travel to members' homes and, or community settings to conduct assessments.
Report abuse, neglect, or exploitation of older adults and adults with disabilities as a mandated reporter, as required by state law.
Follow field-safety practices for independent in-home visits and escalate clinical or safety concerns appropriately.
Adhere to all applicable regulatory, privacy (HIPAA), NCQA, and care management standards
Maintain licensure and or certifications
Other duties as assigned.