- 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 assessments using standardized tools (UCA, TTT) to identify medical, functional, and social needs
- Develop and manage service plans for complex or high-acuity members
- Coordinate with healthcare providers, case managers, community resources, and care teams
- Evaluate eligibility for referrals to other professionals or agencies
- Revise care plans as members’ needs change and align them with member goals
- Provide education to members, families, and caregivers on available services and options
- Document assessments and care activities accurately for billing, compliance, and quality reporting
- Advocate for members to remain in preferred living environments and maintain independence
- Maintain compliance with state and federal regulations, Medicaid/LTSS program guidelines, HIPAA, Person First standards, confidentiality policies, and electronic health record requirements
- Travel throughout an assigned geographic region as required
Requirements
- Current, active, unencumbered Registered Nurse (RN) license 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, intellectual and developmental disabilities (I/DD), and long-term services and supports (LTSS)
- 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 (HCBS) 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 medical and behavioral health assessments, developing service plans, and coordinating care for vulnerable populations. Proficient in compliance with state and federal regulations, including HIPAA and Person First standards, while utilizing electronic health records and community-based services.
Highest-signal resume keywords
- Registered Nurse (RN) License
- Clinical Assessment Experience
- Care Coordination
- Knowledge of MassHealth Programs
- Proficiency in Microsoft Office
ATS Optimization Keywords
Hard Skills
- Medical Assessments
- Behavioral Health Assessments
- Service Plan Development
- Documentation in Electronic Systems
- Standardized Assessment Tools (UCA, TTT)
Soft Skills
- Advocacy
- Communication
- Education
Certifications & Qualifications
- Registered Nurse (RN) License
Industry Keywords
- Long-Term Services and Supports (LTSS)
- Home and Community-Based Services (HCBS)
- Person-Centered Care Planning
- Compliance with HIPAA
- Community Resources
Tools & Technologies
- Electronic Health Records
- Microsoft Office Applications