Registered Nurse (RN) Field Clinical Assessor - (Hybrid Remote -Plymouth & Barnstable Counties, MA)

Registered Nurse (RN) Clinical Assessor

Make a meaningful impact as a Registered Nurse (RN) Clinical Assessor. Are you an RN looking for a rewarding career outside of the hospital? Join Maximus and help Massachusetts residents access the care and services they need to live safely and independently in their communities. This is an opportunity to build meaningful one-on-one relationships with members while enjoying a predictable Monday-Friday, 8:00 AM-5:00 PM schedule, the independence to manage your day, and the satisfaction of making a lasting difference.

As a Clinical Assessor, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings to evaluate medical, functional, behavioral health, and social needs. You'll develop person-centered service plans, collaborate with healthcare providers and community partners, educate members and caregivers on available resources, and advocate for vulnerable populations. Your work will directly support individuals in maintaining their independence while ensuring high-quality, compliant care through the MassHealth Long-Term Services and Supports (LTSS) program.

This is a field-based position serving a designated geographic region, with eligible business travel reimbursed at the current IRS federal mileage rate of 76.0 cents per mile. Territories are assigned to help minimize travel while allowing you to provide essential services throughout your community. If you're passionate about community-based nursing, value autonomy, and want to improve lives every day, we'd love to hear from you. Now offering a $1,000 sign-on bonus!

About the Program The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS), through the MassHealth Office of Long-Term Services and Supports (LTSS), provides a robust system of care for individuals of all ages with disabilities and chronic conditions. The program is designed to help Massachusetts residents live with independence and dignity, participate in their communities, and improve their overall quality of life. As the Public Assessors Option (PAO), Maximus provides education to providers, conducts comprehensive in-person assessments, and offers call center support for the following LTSS programs:

• Adult Day Health (ADH)
• Adult Foster Care (AFC)
• Group Adult Foster Care (GAFC)
• Personal Care Attendant (PCA)

As the PAO, Maximus serves as a point of entry for LTSS inquiries and initial contacts while conducting timely, high-quality, consistent, and accurate assessments to determine clinical eligibility for these programs.

Why Nurses Choose Maximus:

• Monday-Friday schedule (8:00 AM-5:00 PM)
• IRS federal mileage reimbursement for eligible business travel
• Independence to manage your own daily schedule
• Performance bonus opportunities
• Meaningful one-on-one interactions that improve lives
• Professional growth and tuition reimbursement
• Comprehensive benefits and 401(k) with company match

Essential Duties and Responsibilities:

• Complete medical and/or behavioral health assessments in accordance with contract requirements involving broad clinical complexity and variability; escalate complex and non-standard cases that are exceptions to policies.
• Conduct on-site, video, and/or telephonic assessments based on program requirements to determine an individual's needs for services and supports, eligibility, and level of care based on established guidelines; interpret clinical and program guidelines to support accurate and consistent determinations.
• Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies.
• Serve as an internal resource to team members within established processes.
• Travel to client, consumer or program locations to perform in-person assessments exceeding 50% of the workweek in support of program delivery.