Rn Jobs in St Cloud

About The Position

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.