- Complete medical and/or behavioral health assessments within contract requirements
- Conduct on-site, video call, and/or telephonic assessments to determine members’ needs, service eligibility, level of care, and related outcomes
- Conduct comprehensive in-person assessments in members’ homes, hospitals, and 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
- 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
- Maintain compliance with state and federal regulations, Medicaid/LTSS guidelines, HIPAA, and company confidentiality policies
- 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
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
- Reliable high-speed internet service
- Minimum 20 Mbps download speed and 50 Mbps for shared internet connectivity
- Minimum 5 Mbps upload speed
- Private and secure workspace
- Ability to reliably commute to the assigned Massachusetts territory if residing in a neighboring state
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 coordinating care with healthcare providers and community partners while advocating for member independence.
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
Soft Skills
- Advocacy
- Communication
- Collaboration
Certifications & Qualifications
- Registered Nurse (RN) License in Massachusetts
Industry Keywords
- Long-Term Services and Supports (LTSS)
- Home and Community-Based Services (HCBS)
- Person First Standards
- Vulnerable Populations
Tools & Technologies
- Microsoft Office Applications
- Standardized Assessment Tools (UCA, TTT)