Field Registered Nurse

Complete medical and/or behavioral health assessments within contract requirements Conduct on-site, video call, and/or telephonic assessments to determine individuals' needs, service eligibility, level of care, and related outcomes Conduct comprehensive in-person assessments in members' homes, hospitals, and community settings Use standardized tools such as UCA and TTT to identify medical, functional, behavioral health, and social needs Develop and manage person-centered service plans for complex or high-acuity members Coordinate with healthcare providers, case managers, care teams, community partners, and resources Evaluate eligibility for referrals to other professionals or agencies Educate members, families, and caregivers about available services and options Advocate for members to remain in preferred living environments and maintain independence Document assessments and care activities accurately for billing, compliance, and quality reporting Maintain compliance with state and federal regulations, Medicaid/LTSS guidelines, HIPAA, confidentiality policies, and electronic health record requirements Revise care plans as members' needs change Travel throughout an assigned geographic region as required Perform other related duties as assigned Requirements Current, active, unencumbered Registered Nurse (RN) license valid in Massachusetts High School Degree or equivalent Minimum two years of relevant post-graduate clinical experience as a Registered Nurse Experience working with vulnerable populations, including behavioral health, intellectual and developmental disabilities, and long-term services and supports populations Experience conducting clinical or functional assessments in home or community-based settings Knowledge of community-based services, care coordination, and person-centered care planning Familiarity with MassHealth, LTSS, and Home and Community-Based Services waiver programs Proficiency in Microsoft Office applications Experience documenting assessments in electronic systems Ability to conduct assessments in person, by video call, and/or telephonically Compliance with Person First standards, HIPAA guidelines, and company confidentiality policies Reliable high-speed internet service Minimum 20 Mbps download speed, or 50 Mbps for shared internet connectivity Minimum 5 Mbps upload speed Private and secure workspace Core Competencies Demonstrates expertise in conducting comprehensive medical and behavioral health assessments, developing person-centered service plans, and ensuring compliance with state and federal regulations. Proficient in coordinating care with healthcare providers and advocating for members' needs in various settings. Highest-signal resume keywords Registered Nurse (RN) License Clinical Assessment Experience Person-Centered Care Planning Knowledge of MassHealth and LTSS Electronic Health Record Documentation Hard Skills Medical Assessments Behavioral Health Assessments Care Coordination Service Plan Development Documentation in Electronic Systems Standardized Assessment Tools Compliance with HIPAA Telephonic Assessments In-Person Assessments Community-Based Services Knowledge Soft Skills Advocacy Communication Interpersonal Skills Education and Training Problem-Solving Certifications & Qualifications Registered Nurse (RN) License in Massachusetts Industry Keywords Long-Term Services and Supports (LTSS) Home and Community-Based Services Vulnerable Populations Person First Standards Confidentiality Policies Tools & Technologies Microsoft Office Applications UCA Tool TTT Tool Electronic Health Records #J-18808-Ljbffr Jobtailor