Description

POSITION SUMMARY:

The Staff RN ensures that EOEA’s Interdisciplinary Case Management Standards are met.  The Staff RN will conduct home visits to assess consumers’ functional health status. RN will determine eligibility and appropriateness for community services and programs and coordinate services with clients.

 ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

·       In conjunction with team members, determine client appropriateness for various home care programs and services, determine clinical eligibility for Medicaid-funded programs and other related services, and determine the frequency, scope, and duration of services.

• Promotes coordination and cooperation with community agencies and institutions providing medical and social services to clients and collaborates with those agencies to form appropriate, cost-effective, quality service plans and substitutions.
• Participates in the interdisciplinary review and assessment of cases with the Care Manager before and after each home visit, as evidenced by documented Interdisciplinary Case Conferences.

·       Conducts home visits to assess clients’ functional, health, and income status to determine eligibility and appropriateness for community long-term care services and programs and coordinate services to clients.

• Performs MassHealth screenings to determine clinical eligibility for specific programs. Assessments are conducted on time according to EOEA Regulations.
• Provides backup coverage across all teams and programs when conducting home visits and community assessments.
• Provides consultation to caregivers, providers, and other community agencies.
• Assists in problem-solving related to care management and consumer-related issues.
• Conducts and participates in agency meetings, committees, task forces, training, and workshops as needed.
• Maintains electronic and other records and prepares reports as required.
• Provides backup coverage as requested to the CAE RN in assisting nursing facility residents’ return to the community in the least restrictive setting in collaboration with the CTLP Team and nursing facility staff by providing support and education regarding community service options for the MassHealth member/applicant, family members, and caregivers.
• Consistently shares sound judgment when making clinical decisions and appropriately notifies healthcare providers of significant changes.
• Completes CDS with 90% accuracy.
• Consistently meets budgetary requirements for ECOP and Choices.
• Updates care plans and adds them to N Drive.
• Provide excellent customer service.
• Maintain accurate Google calendars at all times.
• Adheres to all HIPAA Regulations.

Requirements

QUALIFICATIONS:

·       Must possess a valid Massachusetts license to practice as a Registered Nurse.

·       Must have demonstrated leadership ability.

·       Must be able to work effectively within a diverse team.

·       Must be organized and detail-oriented.

·       Possess working knowledge of community resources and reimbursement systems for health and social services.

EDUCATION, SKILLS, AND EXPERIENCE:

·      A Bachelor of Science degree in Nursing or Associate of Science degree in Nursing and at least (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 direct care service experience.

PHYSICAL REQUIREMENTS OF THE JOB:

·       Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.

·       Ability to climb stairs.

·       Ability to travel to the community to visit consumers' homes.

·       Work requires regular standing, stooping, and bending.