Supervisor, Assessment RN - Worcester & Western MA

Fallon Health•Worcester, MA

About The Position

Fallon Health is seeking an RN Assessment Supervisor to lead a multi-site nursing team serving Worcester and Western Massachusetts. The role is responsible for timely, accurate, high-quality member assessments and care coordination, team performance and readiness, compliance with program and regulatory standards, and collaboration with internal care teams and external community partners. The supervisor provides staff hiring, training, coaching, evaluation, and remediation as needed; oversees assessment workflows and documentation; supports quality-improvement efforts; and prepares cases and records for audits and regulatory reviews. The position also supports whole-person care planning and implementation of Models of Care across product lines. Driving a personal motor vehicle is an essential job function, and the employee must meet the stated license, insurance, and transportation requirements.

Requirements

Graduate of 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 development of care plans that meet regulatory standards.
Ability to adapt to changing needs, think creatively, and solve problems.
Valid driver's license, attestation that there are no disqualifiers under the Driver Safety Policy, proof of at least the state-required auto insurance, and 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, and evaluate staff; address performance issues and implement remediation when needed.
Monitor workloads, reassign tasks, and maintain team readiness.
Hold regular one-on-ones, 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 related 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 closely with navigators, care managers, and Clinical Integration Leaders.
Support 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 assigned tasks.