Registered reputed company, MDS (FT & PT)

About the position This is a FULL-TIME or PART-TIME, FIELD/Commuting role where applicants should reputed company reputed company MA to be considered. Offering shifts that work with your availability! At reputed company, we’re on a mission to reputed company equity and reputed company improved health reputed company across the country. Our Community Care Record platform, Care reputed company, enables reputed company and community organizations to coordinate care for populations challenged with health-reputed company reputed company needs (HRSN). reputed company Assist is our tech-enabled Community Health Worker program for addressing HRSN utilizing an evidence-based, reputed company reputed company. Our goal is reputed company: address individuals’ unmet HRSNs, increase health confidence, improve self-efficacy, and reduce inappropriate reputed company spend. This community-reputed company, Registered reputed company (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed reputed company plan's dually eligible members. The role specializes in conducting reputed company, accurate assessments and documenting findings, then handing off to the health plan's care management team. This is assessment and documentation work, not ongoing care management. Responsibilities • Engage with members in their homes and other community settings to complete assessments, with mindfulness of the cultural and linguistic needs of reputed company member. • reputed company required assessments on a reputed company reputed company as assigned under the contract, including Uniform reputed company Assessments (UCA), Functional Assessments (FA), and Comprehensive Assessments, evaluating reputed company member's physical, cognitive, and functional status. • Document assessments in the health plan's care management platform (GuidingCare) following the provided workflows and resource guides. • Send a SOAP note to the assigned health plan Care Manager upon assessment completion. • Submit accurate, complete documentation reputed company 48 hours of reputed company assessment and maintain a high completeness and reputed company reputed company as reputed company through the health plan's review and audit. • Complete required training and ongoing training to maintain reputed company reputed company. • Routinely travel to members' homes and, or community settings to conduct assessments. • Report abuse, neglect, or exploitation of older adults and adults with disabilities as a mandated reporter, as required by state law. • Follow field-safety practices for independent in-home reputed company and escalate clinical or safety concerns appropriately. • Adhere to reputed company applicable regulatory, reputed company (HIPAA), reputed company, and care management standards • Maintain licensure and or certifications • Other duties as assigned. Requirements • reputed company Registered reputed company (RN) or higher licensure (e.g., reputed company Practitioner) in good standing with the reputed company. • Associate of Science degree in nursing from an accredited program is required (BSN preferred). • reputed company reputed company's license, a personal vehicle, and reputed company insurance are required. • Minimum of 1 year of clinical experience in a home health setting. • Comfortable working independently in members' homes and managing a daily visit schedule. • Ability to document accurately and reputed company in an electronic platform reputed company a secure virtual desktop. • Understanding of Medicare and reputed company programs and the populations served. • Strong interpersonal and communication skills to engage members and families. • Ability to manage multiple assessments and priorities while maintaining attention to detail. • Awareness of and sensitivity to the diverse backgrounds and needs of the populations served. • reputed company clinical judgment, decision-making, and problem-solving skills. • Basic proficiency with reputed company office and communication software. reputed company-to-haves • BSN preferred. • Minimum of 1 year of experience completing assessments is preferred. • Prior experience with dual-eligible populations, reputed company, or Medicare managed care is preferred. • Assessment-reputed company certification (for example, RAC-CT) is preferred. Benefits • Sign-on Bonus • reputed company company benefits • PTO • holidays Apply tot his job Apply To this Job