Registered Nurse (RN) Clinical Assessor - (Hybrid Remote - Franklin County, MA)

Maximus Federal; Greenfield (MA); Híbrido; USD 90 000 - 115 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Sign-on bonus

Hybrid schedule

Performance bonus

Tuition reimbursement

Resumo da oferta

Maximus Federal is seeking a Field Registered Nurse to conduct in-home and community-based assessments for the MassHealth LTSS program. You will develop person-centered care plans, educate members and caregivers, and advocate for vulnerable populations.

The role offers a Monday–Friday schedule with hybrid options and travel reimbursement. You will review medical and functional needs, coordinate with providers, and document findings in electronic records, ensuring high-quality, compliant care.

Qualificações

• Active RN license in Massachusetts.
• Minimum of two years post-graduate clinical experience as an RN.
• Experience working with vulnerable populations (behavioral health, I/DD).
• Experience conducting clinical or functional assessments in home/community settings.
• Knowledge of MassHealth LTSS and HCBS programs.
• Proficiency with Microsoft Office applications and basic electronic documentation.

Responsabilidades

• Complete medical and/or behavioral health assessments in various settings per contract requirements.
• Conduct on-site, video, and/or telephonic assessments to determine service needs and eligibility.
• Interpret clinical guidelines to support accurate determinations of care levels.
• Travel to client locations to perform assessments (≥50% of workweek).
• Maintain compliance with HIPAA and company confidentiality policies.
• Document assessments in electronic systems and serve as a resource to the team.

Conhecimentos

RN license MA

Two years experience

Home assessments

MassHealth/LTSS knowledge

Care coordination

Microsoft Office

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Description & Requirements$1,000 Sign-On Bonus!Make a Meaningful Impact as a Registered Nurse (RN) Clinical AssessorAre you an RN looking for a rewarding career outside of the hospital? Join Maximus and help Massachusetts residents access the care and services they need to live safely and independently in their communities. This is an opportunity to build meaningful one-on-one relationships with members while enjoying a predictable Monday-Friday, 8:00 AM-5:00 PM schedule, the independence to manage your day, and the satisfaction of making a lasting difference.As a Clinical Assessor, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings to evaluate medical, functional, behavioral health, and social needs. You'll develop person-centered service plans, collaborate with healthcare providers and community partners, educate members and caregivers on available resources, and advocate for vulnerable populations. Your work will directly support individuals in maintaining their independence while ensuring high-quality, compliant care through the MassHealth Long-Term Services and Supports (LTSS) program.This is a field-based position serving a designated geographic region, with eligible business travel reimbursed at the current IRS federal mileage rate of 76.0 cents per mile. Territories are assigned to help minimize travel while allowing you to provide essential services throughout your community.If you're passionate about community-based nursing, value autonomy, and want to improve lives every day, we'd love to hear from you.Now offering a $1,000 sign-on bonus! Join our team as a Field Registered Nurse supporting members throughout the state of Massachusetts while enjoying the flexibility of a hybrid remote schedule. Apply today to learn more about our competitive compensation, comprehensive benefits, and rewarding career opportunities.About the ProgramThe Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS), through the MassHealth Office of Long-Term Services and Supports (LTSS), provides a robust system of care for individuals of all ages with disabilities and chronic conditions. The program is designed to help Massachusetts residents live with independence and dignity, participate in their communities, and improve their overall quality of life.As the Public Assessors Option (PAO), Maximus provides education to providers, conducts comprehensive in-person assessments, and offers call center support for the following LTSS programs:* Adult Day Health (ADH)* Adult Foster Care (AFC)* Group Adult Foster Care (GAFC)* Personal Care Attendant (PCA)As the PAO, Maximus serves as a point of entry for LTSS inquiries and initial contacts while conducting timely, high-quality, consistent, and accurate assessments to determine clinical eligibility for these programs.Why Nurses Choose MaximusMonday-Friday schedule (8:00 AM-5:00 PM)IRS federal mileage reimbursement for eligible business travelIndependence to manage your own daily schedulePerformance bonus opportunities Meaningful one-on-one interactions that improve livesProfessional growth and tuition reimbursementComprehensive benefits and 401(k) with company matchEssential Duties and Responsibilities:- Complete medical and/or behavioral health assessments in accordance with contract requirements involving broad clinical complexity and variability; escalate complex and non-standard cases that are exceptions to policies.- Conduct on-site, video, and/or telephonic assessments based on program requirements to determine an individual's needs for services and supports, eligibility, and level of care based on established guidelines; interpret clinical and program guidelines to support accurate and consistent determinations.- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies.- Serve as an internal resource to team members within established processes.- Travel to client, consumer or program locations to perform in-person assessments exceeding 50% of the workweek in support of program delivery.Minimum Requirements- Specific clinical license and experience requirements based on contract requirements.- Travel on-site to client, consumer or program locations for more than 50% per week required; specific travel requirements based on program contract requirements.- An active, unencumbered Registered Nurse (RN) license in the state of Massachusetts.- Minimum of two (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 those requiring long-term services and supports (LTSS).- Experience conducting clinical or functional assessments in home or community-based settings, such as behavioral health evaluations, level of care determinations, or utilization reviews.- 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.Home Office Requirements- Maximus provides company-issued computer equipment- Reliable high-speed internet service- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity- Minimum 5 Mpbs upload speeds- Private and secure workspace#ClinicalServices #LI-Hybrid #maxcorp #mafrn #MARNCA #HotJobs1027LI #HotJobs1027FB #HotJobs1027X #HotJobs1027TH #TrendingJobsEEO StatementMaximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.Pay TransparencyMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.AccommodationsMaximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at [e-mail].