Field Registered Nurse - (Hybrid Remote -Berkshire County, MA)

Essential 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.

-Conduct assessments using standardized tools (UCA, TTT) to identify medical, functional, and social needs
-Develop and manage service plans for complex or high-acuity members, coordinating with healthcare providers, case managers, and community resources
-Evaluate eligibility for recommended referrals to other professionals or agencies
-Maintain compliance with state and federal regulations, Medicaid/LTSS program guidelines, and electronic health record systems
-Collaborate with care teams to revise care plans as needs change, ensuring alignment with member goals
-Provide education to members, families, and caregivers on available services and options
-Document assessments and care activities accurately to support billing, compliance, and quality reporting
-Advocate for members to help them remain in preferred living environments and maintain independence

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.

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Experience documenting assessments in electronic systems.

Home Office Requirements

- Maxi...