Rn Assessment Jobs

About The Position

Requirements

• Bachelor’s degree in Nursing.
• Massachusetts Registered Nurse (RN) license.
• Valid driver’s license and reliable transportation.
• At least 3–5 years of experience in health plan or community case management.
• Experience working with individuals with complex medical, behavioral, and social needs.
• Strong communication and interpersonal skills for engaging enrollees and interdisciplinary teams.
• Critical-thinking and problem-solving skills.
• Autonomous decision-making and prudent judgment based on objective information, clinical experience, and the nursing process.
• Strong organizational skills, including the ability to manage routine work, triage, and reset priorities.
• Ability to build rapport and trust with providers and their staff and promote Population Health initiatives.
• Excellent oral, written, and telephonic communication skills.
• Competency working with multiple healthcare computer platforms.
• Ability to work effectively in a complex, fast-paced medical environment and across multiple practice locations.
• Ability to work independently while contributing to a collaborative team environment.
• Knowledge of healthcare and community services.
• Ability to adapt to change and participate in continuous process improvement.
• Ability to accommodate a hybrid work model and travel for in-person home and community visits.
• Ability to maintain a stable, quiet, secure, compliant remote workstation and access Teams Video using MGB equipment.

Nice To Haves

• Master’s degree in Nursing.
• Experience with community case management and comprehensive assessment (MDS).
• Experience with dual-eligible populations (Medicare and Medicaid).
• Bilingual ability in English and Spanish, Portuguese, French, and/or Chinese.
• EPIC experience.

Responsibilities

• Conduct initial and ongoing comprehensive face-to-face assessments and evaluations for members, with outreach by telephone, electronic communication, or in-person visits according to member preferences and needs.
• Travel to enrollees’ homes, community locations, and residential sites to complete assessments.
• Independently manage scheduling, including coordinating face-to-face appointments with members.
• Collaborate with primary care providers, the interdisciplinary team, and the community care management team to coordinate care.
• Complete medication reconciliation.
• Provide education on acute and chronic disease management.
• Analyze assessment data and share it with the Interdisciplinary Care Team to support development of an effective individualized care plan.
• Ensure assessments are accurate, high quality, and documented and submitted to MassHealth in a timely manner.
• Adapt to fast-paced changes and shifting priorities.

Benefits

• Competitive salaries and a benefits package.
• Flexible work options.
• Career growth and advancement opportunities.
• Differentials, premiums, and bonuses as applicable.
• Recognition programs.