Field Registered Nurse

Jobtailor; Lowell (MA); On-site; USD 70,000 - 95,000; Full time

Job summary

Jobtailor is seeking an experienced Registered Nurse to perform comprehensive clinical assessments and develop person-centered care plans for members in Massachusetts.

The role includes on-site, video, and community-based assessments, travel across an assigned territory, collaboration with care teams, and thorough documentation in electronic health records to support billing and quality reporting, while maintaining HIPAA and confidentiality.

Qualifications

• Current, active, unencumbered RN license valid in Massachusetts
• Minimum 2 years post-graduate clinical experience as an RN
• Experience with vulnerable populations including behavioral health, IDD, LTSS
• Experience conducting clinical or functional home/community assessments
• Familiarity with MassHealth LTSS, Home and Community-Based Services waivers

Responsibilities

• Complete medical and/or behavioral health assessments within contract requirements
• Conduct on-site, video call, and/or telephonic assessments to determine needs, eligibility, level of care, or related outcomes
• 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
• Document assessments and care activities accurately for billing, compliance, and quality reporting
• Maintain compliance with HIPAA, confidentiality policies, and EHR 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

Skills

Clinical Assessment Experience

Care Coordination

Documentation in Electronic Health/EMR

Telephonic Assessments

Communication & Collaboration

Education

RN License (MA)

High School Diploma or equivalent

Tools

UCA Tool

TTT Tool

Microsoft Office

Electronic Health Records

Job description

• 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