Field Registered Nurse

Jobtailor; Massachusetts; On-site; USD 75,000 - 110,000; Full time

Job summary

Jobtailor is seeking an RN to perform comprehensive medical and behavioral health assessments and develop person-centered service plans for high-acuity members across Massachusetts. The role involves on-site, telehealth, and community-based assessments, with coordination across care teams and strict HIPAA compliance.

Travel across the MA region is required, along with ongoing documentation and education for members, families, and caregivers.

Qualifications

• Current, active RN license in Massachusetts.
• High School Degree or equivalent.
• Minimum 2 years of relevant post-graduate clinical RN experience.
• Experience with vulnerable populations including behavioral health, IDD, LTSS.
• Experience conducting clinical or functional assessments in home or community settings.
• Knowledge of MassHealth LTSS and HCBS waiver programs.
• Proficiency with Microsoft Office and documenting assessments in electronic systems.
• Ability to travel to an assigned Massachusetts territory.

Responsibilities

• Complete medical and behavioral health assessments within contract requirements.
• Conduct on-site, video call, and telephonic assessments to determine needs, eligibility, level of care, and outcomes.
• Develop and manage person-centered service plans for complex or high-acuity members.
• Coordinate with healthcare providers, case managers, community partners, and care teams.
• Evaluate eligibility for referrals to other professionals or agencies.
• Revise care plans as members' needs change to align with goals.
• Educate members, families, and caregivers about services and options.
• Document assessments and care activities for billing, compliance, and quality reporting.
• Advocate for members to remain in preferred living environments and maintain independence.
• Travel throughout an assigned Massachusetts service region.
• Perform other related duties as assigned.

Skills

Clinical Assessment

Care Coordination

Person-Centered Care

MassHealth LTSS

Vulnerable Populations

Telehealth Assessments

HIPAA Compliance

Documentation

Communication

Education

High School Degree

Tools

Microsoft Office

Electronic Health Record Systems

Telehealth Platforms

Job description

• Complete medical and/or behavioral health assessments within contract requirements
• Conduct on-site, video call, and telephonic assessments to determine needs, service eligibility, level of care, and related outcomes
• Conduct comprehensive in-person assessments in members' homes, hospitals, and community settings
• Develop and manage person-centered service plans for complex or high-acuity members
• Coordinate with healthcare providers, case managers, community partners, 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
• Educate members, families, and caregivers about 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
• Perform duties in compliance with Person First standards, HIPAA, confidentiality policies, regulations, and MassHealth LTSS guidelines
• Travel throughout an assigned Massachusetts service region
• Perform other related duties as assigned

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, 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 reliably commute to an assigned Massachusetts territory
• Ability to travel as required by program contract requirements
• Compliance with Person First standards, HIPAA guidelines, confidentiality policies, and state and federal regulations
• Reliable high-speed internet service
• Minimum 20 Mbps download speed and 50 Mbps for shared internet connectivity
• Minimum 5 Mbps upload speedPrivate and secure workspace

Core Competencies

Demonstrates expertise in conducting comprehensive medical and behavioral health assessments, developing person-centered service plans, and coordinating care for vulnerable populations. Proficient in compliance with HIPAA and MassHealth guidelines while effectively documenting assessments and care activities.

Highest-signal resume keywords

• Registered Nurse (RN) License
• Clinical Assessment Experience
• Person-Centered Care Planning
• Knowledge of MassHealth and LTSS
• Experience with Vulnerable Populations

ATS Optimization Keywords

Hard Skills

• Clinical Assessment
• Care Coordination
• Service Plan Development
• Documentation in Electronic Systems
• Behavioral Health Knowledge
• Community-Based Services Knowledge
• Compliance with HIPAA
• Person First Standards
• Long-Term Services and Supports (LTSS)
• Telephonic Assessments

Soft Skills

• Advocacy
• Communication
• Education
• Collaboration
• Empathy

Certifications & Qualifications

• Registered Nurse (RN) License in Massachusetts

Industry Keywords

• Home and Community-Based Services
• Vulnerable Populations
• Behavioral Health
• Intellectual and Developmental Disabilities
• MassHealth Guidelines

Tools & Technologies

• Microsoft Office Applications
• Electronic Health Record Systems
• Telehealth Platforms