Supervisor, Assessment RN

Fallon Health•Worcester, MA

5d•$118,000 - $125,000

About The Position

The RN Assessment Supervisor leads a multi-site RN team to ensure timely, accurate, high-quality assessments and care coordination. The role provides staff supervision, coaching, training, and performance support; monitors workloads and readiness; and ensures compliance with workflows, program standards, and regulatory requirements. The supervisor works with navigators, care teams, Clinical Integration Leaders, state agencies, and community providers to support comprehensive member care and coordinated services. The position supports quality improvement and performance initiatives related to NCQA, HEDIS, CMS, State measures, and other program standards. It also oversees use of assessment tools, supports accurate member rating assignments and whole-person care planning, and prepares case files and documentation for audits and regulatory reviews. The role requires an active, unrestricted Massachusetts RN license and driving a personal motor vehicle as an essential job function.

Requirements

Graduate from an accredited school of nursing; an associate degree is required.
Active, unrestricted Registered Nurse license in Massachusetts.
At least 4 years of RN clinical experience managing patients with complex medical, behavioral, and social needs.
Strong customer service skills and ability to resolve issues quickly.
Excellent organization and multitasking abilities.
Knowledge of community resources, levels of care, and developing care plans that meet regulatory standards.
Ability to adapt to changing needs, think creatively, and solve problems.
Must possess a valid driver's license, attest to no disqualifiers under the Driver Safety Policy, provide proof of at least the minimum state-required auto insurance, and have reliable transportation.
Driving a personal motor vehicle is an essential job function.

Nice To Haves

Bachelor’s degree or higher in nursing.
Certification in Case Management; willingness to obtain certification when eligible.
Experience with process improvement and using data to enhance workflows.
Experience supervising staff supporting social determinants of health needs.
Experience with OASIS and/or MDS assessments.
Familiarity with Medicare and Medicaid programs and regulations.
Background in social service agencies, related state agencies (DMH, DDS, DCF, DYS), or community service organizations.

Responsibilities

Lead a multi-site RN team and ensure assessments are completed accurately and on schedule.
Hire, train, coach, supervise, and evaluate staff; address performance issues and provide remediation when needed.
Monitor workloads, reassign tasks, and maintain team readiness.
Hold regular one-on-one meetings, huddles, and case discussions.
Audit documentation for accuracy and adherence to workflows.
Ensure proper use of assessment tools, including MDS HC, UAT, and product-specific tools.
Serve as a subject matter expert for MDS submissions and PCA time-for-task guidelines.
Ensure accurate member rating category assignments.
Guide staff in whole-person care planning that addresses medical, behavioral, and social needs.
Support quality initiatives tied to NCQA, HEDIS, CMS Stars, State measures, and other performance measures.
Use reporting tools to track performance and teach staff to use reports independently.
Prepare assessment cases and documentation for audits and regulatory reviews.
Ensure strict HIPAA compliance.
Work with navigators, care managers, and integration leaders to support member care and implement Models of Care and program requirements across product lines.
Maintain partnerships with state agencies and community providers and share information about clinical, social, and financial resources.
Provide departmental support and coverage as needed and complete other tasks assigned by the Manager/Director.