Nurse - Assessor

This is a Full time 35 hours a week position.

GENERAL SUMMARY:  

The ASAP RN is responsible for performing the duties required by the Clinical Assessment and Eligibility (CAE) Program established by the Executive Office of Aging & Independence (AGE) and the Office of Long-Term Services and Supports (OLTSS) and in contract with MassHealth, and the MA State Home Care Program. The RN must be knowledgeable about the programs and services available to consumers throughout the 16 communities in the Minuteman Senior Services service area. The RN is part of an interdisciplinary care management team and participates in interdisciplinary meetings with community service providers including care managers, nursing home staff, physicians, nurses and therapists from home health agencies, hospice providers, nutritionists, housing managers, mental health professionals, and other community home and health care professionals.

ESSENTIAL FUNCTIONS:

• Review referrals provided by Care Managers for each consumer determined to be in need of home care services, participate in Case Interdisciplinary Reviews, and consultations with Care Managers as needed.
• Conduct initial home visits to assess consumer’s health status, determine need for service and appropriate level of service needed, and develop a personal care plan if needed.
• Provide yearly reassessments as deemed appropriate by state guidelines and interdisciplinary conference.
• Serve as a consultant to our Protective Services program on health-related issues.
• Provide pre-admission screening of Medicaid consumers seeking long-term care services with the consideration of a community-based alternative plan which may require an in-home assessment.
• Track consumers who have been deemed ineligible for nursing home placement either due to alternative community services or not meeting the Medicaid regulations for long-term nursing home placement.
• Process cases of all screening requests according to MassHealth and AGE provisions.
• Provide on-site meetings at skilled nursing facilities to meet the requirements of the Long-Term Care Options program for possible discharge and ASAP service coordination.
• Assist with provision of health care related in-service training to ASAP personnel.
• Assess consumers for clinical assessment and eligibility (CAE) for all MassHealth and State Home Care Programs.

COMPETENCIES NEEDED:

Accountability :  Demonstrates and communicates a high level of responsibility for and commitment to achieving results. 

Customer Service Orientation:   Learns internal/external customer/consumer needs and how best to meet them.  Responds to requests in a timely and thorough manner; does what is necessary to ensure consumer satisfaction; prioritizes consumer needs.

Communication Skills: Listens, speaks, and writes clearly and concisely; ensures all involved are kept informed about developments and plans; shares ideas and information with others who might find them useful; keeps supervisor informed about progress and problems.

Critical Thinking and Problem Solving: Recognizes and accurately evaluates the signs of a problem and utilizes available resources to resolve; analyzes current procedures for possible improvements; notifies supervisor of problems in a timely manner.

Teamwork and Cooperation:  Demonstrates willingness to work with and assist others toward a common goal.

Time Management:  Organizes and schedules people and tasks demonstrating the ability to balance requisite number of home visits per month with maintenance of notes; regularly produces accurate, thorough, professional work.

WORK ENVIRONMENT:

While performing the duties of this position, the employee travels by car and is exposed to changing weather and seasonal conditions.  The employee works in varied residential environments and/or skilled nursing facility based on the assigned caseload.  The balance of time is spent in a professional office environment or working remotely based on office policy.  This role regularly requires the use of a computer, telephone and other standard office equipment.  The employee is frequently required to stand, get in and out of an automobile, as well as walk up and down stairs to enter and exit consumer homes. 

PHI and PII:

• This role has access to Protected Health Information (PHI) and therefore the employee must adhere to Minuteman’s confidentiality policy and HIPAA regulations.
• This role has access to Personal Identifiable Information (PII) and therefore the employee must adhere to Minuteman’s confidentiality policy and MA Executive Order 504.
• This role has access to Protected Health Information (PHI) and Personal Identifiable Information (PII) and therefore the employee must adhere to Minuteman’s confidentiality policy, HIPAA regulations, and MA Executive Order 504.

Pay Range Disclosure:

• In accordance with the Massachusetts Wage Transparency Act, the pay range for this position reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and alignment with the role’s responsibilities.

QUALIFIED APPLICANTS WILL HAVE:

• Bachelor or Associates of Science degree in Nursing and at least one (1) year of clinical experience and/or nursing in a community or long-term care setting OR
• Diploma RN and two (2) additional years of community-based nursing experience or long-term care direct service experience.
•  Massachusetts license as a Registered Nurse required.
• Valid driver’s license and a reliable vehicle to enable travel for home visits and to area nursing homes on a regular basis.
• Experience inputting notes into a complex Wellsky Aging and Disability System is helpful.