RN, Clinical Eligibility

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital.

Together, we’re advancing medicine and delivering the best care experience for our patients and community!

Interested in this position? Apply online and create a personal candidate account!

Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.

To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.

Time Type:
Full time

Department:
PACE Community Care

All Locations:
300 Ocean Avenue – Revere

Position Summary:
Responsible for completing the Minimum Data Set (MDS) with prospective PACE enrollees and also the ongoing annual renewals of all enrollees in the program.

Essential Duties & Responsibilities:


* Review Profile, Sales Plan & Medical Record of potential enrollee.

Assess medical records for documented diagnosis, medications, physical and mental status.


* Contact potential enrollee to explain & reinforce the purpose of visit and schedule appointment.


* Visit potential enrollee and gather information to validate medical records and to complete MDS.


* Complete the MDS, sign, and have provider review and co-sign.

Enter in Virtual Gateway.


* Upon collaboration with enrollment team for enrollment date, enter home care referrals into EPIC.


* In accordance with MDS due date log, review medical record of participants that are due one month prior to anniversary date.


* Collaborate with primary nurse to validate information gathered from medical record.

Qualifications and Requirements:


* Graduate of an accredited RN program; BSN preferred.


* Current Massachusetts license in nursing.


* Current BLS certification required.


* Exceptional triage assessment skills.


* Ability to communicate assessment findings efficiently, effectively and accurately in verbal and written formats.


* Bilingual a plus.

Pay Range:

$40/hr up to $60/hr based on experience

Includes a $10,000 sign on bonus!

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer.

We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@Ne...