Assessment Registered Nurse Springfield

About Vitra Health

Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care.

To help share our mission and expand our community impact, Vitra Health is seeking an Assessment Registered Nurse who is passionate about community engagement and helping people access the care and resources they deserve.

The Opportunity

The Assessment Registered Nurse will be responsible for conducting regular in-person visits with clients and caregivers in a qualified setting to ensure clients remain safe and healthy in the community while decreasing/preventing unnecessary hospitalizations and re-hospitalizations. They will work closely with the interdisciplinary Care Team in developing proactive action plans to best serve the client's needs. If you are someone passionate about advocating for your clients and facilitating the success of clients remaining safely in their homes, we encourage you to apply today!

Key Responsibilities

• Complete intake and annual assessment and admission visits.
• Complete all required documentation including client assessment forms and multidisciplinary plan of care and communicate professionally with client PCP and other healthcare providers when necessary.
• Review all information in the client's admission binder, ensuring understanding and educating the caregiver on use of the MH required caregiver communication tool or electronic visit verification system depending on program participation.
• Complete regular, in-home visits, caregiver education/skills training and assess health and environmental changes.
• Conduct semi-annual visits, reviewing and updating existing plan of care and corresponding goals, medication review and reconciliation and review caregiver communication tools.
• Address concerns regarding environment, psychosocial status, and changes in physical health.
• Participate in multidisciplinary team meetings and work collaboratively to address client needs.
• Foster culture of customer service and commitment to quality care.
• Serve as a brand ambassador for VITRA reflecting our vision, mission, and values.
• Show genuine interest and compassion and commitment to the diversity of our clients and team members.
• Other duties as assigned.

What we are looking for:

• Willingness to travel within assigned region required.
• Valid driver's license and reliable transportation required.
• Fluency in both English and second language strongly preferred.
• Licensed as an RN by Massachusetts Board of Registration in Nursing required.
• Minimum of two years' recent experience in the direct care of elders or adults with disabilities.
• Case management, behavioral health, social services, and/or community health worker experience preferred.
• Strong communication, documentation, and organizational skills required.
• Must be solution oriented and be able to multitask.
• CPR Certification.

Work Environment and Physical Requirements

• Office-based work in a clean well-lit environment with fluctuating temperatures near others.
• Client-facing field staff and community liaisons require frequent travel to client homes or community settings; ability to drive safely; work in client homes may involve varying temperatures, odors, allergens, pets, and other environmental factors.
• Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse.
• Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.

** Perks and Benefits: **

• Employer sponsored health Insurance with a generous employer match.
• Dental and Vision Benefits.
• Supplemental Benefits
  • Life, Accident, Critical Illness and Disability Insurance.
• 401K with a 5% company match.
• Accrued Paid-Time-Off.
• Ten company paid holidays.
• Wellness Benefits.
• Tuition Reimbursement.
• Supportive team structure and company culture with a focus on work/life balance.

Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.