Registered Nurse: Home Care

AgeSpan; Lawrence (MA); Hybrid; USD 78,000 - 86,000; Full time

Benefits offered by this job

Flexible schedule

Hybrid work

403b retirement

Vacation days

Sick days

License renewal paid

Job summary

AgeSpan is hiring a Registered Nurse for Home Care in Massachusetts. The RN guides case management for elders in the community, coordinating services, assessing eligibility, and developing community care plans aligned with MassHealth and agency standards.

The role requires an active MA RN license, a valid driver’s license, and the ability to work with an interdisciplinary team. A flexible schedule, hybrid work options, and competitive benefits are offered.

Qualifications

• Massachusetts RN license required.
• Valid driver’s license and reliable transportation.
• Education/experience combinations meet criteria: BSN/ASN or Diploma RN with 2+ years in community/long-term care.

Responsibilities

• Perform on-site evaluation of consumers in community and facilities.
• Conduct field visits to assess older adults’ status and needs.
• Participate in interdisciplinary team meetings and case conferences.
• Develop complex care plans and enhanced service plans per high‑risk protocols.
• Determine MassHealth eligibility for nursing home placement, waivers, and community programs.
• Coordinate discharge planning from nursing facility to community.
• Develop service plans addressing consumer needs, values and preferences.
• Assess and monitor Personal Care/Homemaker services; provide health education.

Skills

Interdisciplinary teamwork

Written and verbal communication

Computer skills

Bilingual ability

Education

BSN or ASN degree

Diploma RN + 2+ years experience

Tools

Electronic documentation systems

Job description

The pay range for this position is $78,000 - $86,000/year. The final compensation for RN positions will be determined by assessing each candidate's experience in accordance with established compensation guidelines.

About Us:

Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community. We are proud of our employees who make this possible every day. Our agency is a thought-leader, a nationally known generator of new ideas, because it welcomes creativity, your ideas. It is an outstanding place to work stimulating, friendly, collaborative. We offer competitive salaries, generous vacation time, and an excellent work/life balance. We value diversity and encourage career growth. If you have a passion for improving the lives of the elderly community and enjoy working in a diverse team driven by its mission, you've found the right place!

At AgeSpan, you'll find a work environment that combines:

• A refreshing culture that is supportive, collaborative, and encouraging of diverse perspectives and backgrounds.
• A focus on innovation with a team recognized for developing and implementing innovative programs and novel solutions.
• Encouragement of your development through opportunities to get involved, use your voice, and gain new knowledge and skills.
• A satisfying balance between your work and personal life, including a flexible workplace, generous paid time off, and wellness programs.

Depending on your role and your hours, we offer:

• Flexible schedule and hybrid work opportunities
• 403b Retirement Plan with agency match
• 20 Vacation Days, 12 Sick Days, and 12 Paid Holidays
• Social Work Licensing Program
• License Renewal Paid by agency for RN's and Social Workers
• And MORE!

Position Summary:

The Registered Nurse: Home Care is responsible for participating in the interdisciplinary approach to case management of elders living in the community. The Registered Nurse: Home Care facilitates the transition of consumers to and from the nursing facility. This includes assessing for, monitoring, and authorizing personal care services as well as determining clinical eligibility for community programs. The Registered Nurse: Home Care develops community care plans for elders in accordance with the guidelines set by the Executive Office of Aging & Independence, MassHealth, and agency standards.

Essential Functions:

• Perform on-site evaluation of consumers in both the community residence and in nursing facilities, including review of medications and a clinical assessment.
• Conduct field visits to assess an older adult's physical, social, emotional, and environmental status to determine their eligibility and needs in their homes.
• Participate on an interdisciplinary team of Registered Nurse, Case Manager and Program Manager; attend appropriate case consultations and conferences.
• Work collaboratively to develop complex care plans and enhanced service plans according to high-risk protocols with the goal to diminish barriers to receiving services.
• Determine clinical eligibility for MassHealth recipients or applicants for nursing home placement, adult day health, home and community-based waiver services, and other community-based programs.
• Assist in the coordination of discharge planning for appropriate elders from the nursing facility setting to the community, including service planning.
• Work with the consumers and involved supports to develop a service plan which addresses the consumer's needs, values and preferences.
• Assess, implement and monitor the appropriateness of Personal Care/Homemaker services.
• Provide education on health and wellness resources to consumers and families.
• Complete necessary electronic documentation determining/supporting the level of care for community services and/or nursing facility placement according to the Executive Office of Aging & Independence and MassHealth regulations.
• Support ASAP nursing team with coverage as needed.
• Perform additional tasks as directed by the Nurse Manager, including piloting, implementing, and evaluating new programs as they are developed.

Additional Functions:

• Attend appropriate agency and community meetings.
• Participate in agency committees as indicated, enhancing the effectiveness and quality of the clinical component of assessed needs.

Qualifications:

A valid Massachusetts Registered Nurse license is required. Applicants must have a valid driver's license and reliable transportation. The combination of education level and related experience required is as follows:

• a Bachelor of Science in Nursing or Associate of Science in Nursing degree and at least one (1) year of clinical experience and/or nursing in a community or long-term care setting; or
• a Diploma RN and two (2) additional years of community-based nursing experience or long-term care direct service experience

Must be willing and able to perform community assessments on a regular basis and possess good written, verbal, interpersonal and computer skills and the ability to work in an interdisciplinary team-based environment. Bilingual ability a plus.

Our Commitment to Diversity and Inclusion

AgeSpan is strongly committed to fostering a professional environment that recognizes, respects, and encourages the unique contributions of a broad spectrum of qualified employees. It is important that our employees reflect the diverse communities we serve. We maintain a work atmosphere that allows people of varied backgrounds to grow professionally and contribute to our mission by promoting diversity, equity, inclusion, and work-life balance.