Field Registered Nurse

Complete medical and/or behavioral health assessments within contract requirements Conduct on-site, video call, and/or telephonic assessments to determine needs for services and supports, eligibility, level of care, or related outcomes Conduct comprehensive in-person assessments in members' homes, hospitals, and other 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 Collaborate with healthcare providers, case managers, care teams, community partners, and other resources Evaluate eligibility for referrals to other professionals or agencies Revise care plans as members' needs change and align them with member goals Educate members, families, and caregivers on available services and options Document assessments and care activities accurately for billing, compliance, and quality reporting Maintain compliance with state and federal regulations, Medicaid/LTSS guidelines, HIPAA, Person First standards, confidentiality policies, and electronic health record requirements Advocate for members to remain in preferred living environments and maintain independence Travel throughout an assigned geographic territory Perform other related duties as assigned Requirements Current, active, unencumbered Registered Nurse (RN) license valid in Massachusetts High School Degree or equivalent Minimum 2 years of relevant post-graduate clinical experience as a Registered Nurse Experience working with vulnerable populations, including behavioral health needs, intellectual and developmental disabilities, and long-term services and supports 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 programs, LTSS, and Home and Community-Based Services waiver programs Proficiency in Microsoft Office applications Experience documenting assessments in electronic systems Compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures 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 collaborating with healthcare providers and utilizing electronic health records for accurate documentation. Highest-signal resume keywords Registered Nurse (RN) License Clinical Assessment Experience Person-Centered Care Planning Knowledge of MassHealth Programs Compliance with HIPAA Guidelines ATS Optimization Keywords Hard Skills Medical Assessments Behavioral Health Assessments Care Coordination Service Plan Development Documentation in Electronic Systems Standardized Assessment Tools Community-Based Services Knowledge Functional Assessments Clinical ExperienceTelephonic Assessments Soft Skills Advocacy Collaboration Communication Education Empathy Certifications & Qualifications Registered Nurse (RN) License Industry Keywords Long-Term Services and Supports (LTSS) Home and Community-Based Services Person First Standards Vulnerable Populations Confidentiality Policies Tools & Technologies Microsoft Office Applications Electronic Health Records UCA Tool TTT Tool #J-18808-Ljbffr