Field Registered Nurse

Jobtailor; Worcester (MA); On-site; USD 85,000 - 110,000; Full time

Job summary

Jobtailor in Massachusetts seeks a Registered Nurse to perform comprehensive medical and behavioral health assessments, develop and manage service plans, and coordinate with care teams. The role emphasizes person-centered planning, documentation, and compliance with HIPAA and Medicaid/LTSS guidelines.

The ideal candidate has at least 2 years of post-graduate clinical experience, experience with vulnerable populations, and proficiency in electronic health records.

Qualifications

• Current, active, unencumbered RN license valid in Massachusetts
• High School Degree or equivalent required
• Minimum 2 years of relevant post-graduate clinical experience as an RN
• Experience with vulnerable populations including behavioral health needs, I/DD, LTSS
• Experience conducting clinical or functional assessments in home/community settings
• Knowledge of MassHealth, LTSS, HCBS waiver programs
• Proficiency in Microsoft Office
• Experience documenting assessments in electronic systems
• Reliable high-speed internet
• Private, secure workspace

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, and outcomes
• Use standardized tools (UCA, TTT) to identify medical, functional, behavioral health, 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 with member goals
• Educate members, families, and caregivers about services and options
• Document assessments and care activities for billing, compliance, and quality reporting
• Maintain compliance with regulations (HIPAA, Medicaid/ LTSS, confidentiality)
• Advocate for members to remain in preferred living environments and maintain independence
• Travel throughout assigned geographic region as required
• Perform other related duties as assigned

Skills

Communication

Interpersonal Skills

Advocacy

Education and Training

Education

High School Degree or equivalent

Registered Nurse (RN) License in Massachusetts

Tools

Microsoft Office

Electronic Documentation Systems

Job description

• Complete medical and/or behavioral health assessments within contract requirements
• Conduct on-site, video call, and/or telephonic assessments to determine individuals’ needs, service eligibility, level of care, and related outcomes
• Conduct assessments using standardized tools (UCA, TTT) to identify medical, functional, behavioral health, 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
• 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 program 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 region as required
• Perform other related duties as assigned

Requirements

• Current, active, unencumbered Registered Nurse (RN) license valid in Massachusetts is required
• High School Degree or equivalent required
• Minimum 2 years of relevant post-graduate clinical experience as a Registered Nurse
• Experience working with vulnerable populations, including individuals with behavioral health needs, 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
• 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 healthcare regulations and documentation standards while advocating for member independence.

Highest-signal resume keywords

• Registered Nurse (RN) License
• Clinical Assessment Experience
• Care Coordination
• Knowledge of MassHealth Programs
• Electronic Health Record Documentation

ATS Optimization Keywords

Hard Skills

• Medical Assessments
• Behavioral Health Assessments
• Service Plan Development
• Standardized Assessment Tools (UCA, TTT)
• Care Plan Revision
• Community-Based Services Knowledge
• Person-Centered Care Planning
• Clinical Documentation
• Compliance with HIPAA
• Advocacy for Member Independence

Soft Skills

• Communication
• Interpersonal Skills
• Advocacy
• Education and Training

Certifications & Qualifications

• Registered Nurse (RN) License in Massachusetts

Industry Keywords

• Long-Term Services and Supports (LTSS)
• Home and Community-Based Services (HCBS)
• Vulnerable Populations
• Behavioral Health Needs
• Intellectual and Developmental Disabilities (I/DD)

Tools & Technologies

• Microsoft Office Applications
• Electronic Documentation Systems