Home Health RN — Care Coordination & Assessments

Greater Springfield Senior Services Inc.; Springfield (MA); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Travel reimbursement

Job summary

Greater Springfield Senior Services Inc. is seeking a nursing professional to perform on-site assessments and coordinate care for the CAE/State Home Care Program.

Responsibilities include initial and annual assessments, care plan development, and liaison work with providers to ensure comprehensive elder care. The role requires MA RN certification (or Diploma RN with additional community-based experience), strong tech skills, and reliable transportation.

Qualifications

• Current MA RN license with at least 1 year clinical community or long-term care nursing experience.
• Alternative: Diploma RN with 2 additional years of community-based nursing or long-term care direct service experience.
• Proficient with technology for on-site assessments and data entry, including laptops/tablets.

Responsibilities

• Complete initial assessments and annual reassessments for personal care and home health aide clients.
• Develop care plans for personal care clients.
• Prepare and maintain nursing files (paper and electronic).
• Provide consultation on Protective Services, Elder at Risk and Respite Care cases.
• Act as liaison with agency providers and as a medical resource for staff.
• Backup nurse for other medical programs as needed.
• Be an active interdisciplinary team member providing nursing support to case management staff.
• Advocate for elders and assist with information and referrals.
• Requires valid driver's license and reliable transportation; ability to climb stairs.

Skills

Technology for field assessments

Spreadsheets/Word/Excel

Home assessments

Diversity and inclusivity

Experience with disabled persons

Education

MA RN license

Diploma RN + 2 years community-based nursing

Job description

Greater Springfield Senior Services Inc. is seeking a nursing professional to perform on-site assessments and coordinate care for the CAE/State Home Care Program.

Responsibilities include initial and annual assessments, care plan development, and liaison work with providers to ensure comprehensive elder care. The role requires MA RN certification (or Diploma RN with additional community-based experience), strong tech skills, and reliable transportation.