Membership Nurse RN
Harbor Health Services
- Pay
- $34 to $43
- an hour
- Location
- Mattapan, MA
- Job type
- Full time
- Posted
- Oct 7
- 12 days ago
Career path
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About the company
Harbor Health Services
Hospital & health care · 501 to 1,000 employees
Harbor Health operates two Programs for All-Inclusive Care for the Elderly (PACE), also known as the Elder Service Plan, in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580 frail elders who continue to live with dignity and independence in the community.
What you'll do
- Performs all necessary actions to complete initial and annual state required clinical assessments including in-person or electronic intakes, obtaining necessary information from various sources, completing and submitting assessments for state review, correcting and resubmitting assessments until final approval is received, and saving final approvals.
- Completes reassessment and submission of expired clinical assessments.
- Maintains detailed records of all submissions and state responses.
- Maintains a detailed understanding of the state’s PACE clinical requirements.
- Collaborates with other departments to ensure successful submission of state clinical assessments and new participant enrollment transitions.
- Follows up on additional requested medical information needed prior to applicant enrollment.
- Initiates new participant medical record in the Electronic Medical Record (EMR) .
- Assures presence of completed and signed Health Care Proxy, Medical Release Form, and other designated forms.
- Provides detailed clinical information of potential applicants to Interdisciplinary Teams to assist them in preparing for the transition of new enrollees.
- Provides obtained applicant documents to Medical Records for scanning into the EMR including medical record release form, HCP, POA, Wills, Medical Records, etc.
- Must be able to meet work and process deadlines set by the PACE Membership leaders.
What you need
- Associates Degree in Nursing, or BSN
- Current MA Registered Nurse (RN) License required, current BLS required
- One year of experience working with an elder population preferred, 2 years of experience in a healthcare setting preferred
- Experience with the MA Minimum Data Set – Home Care Clinical Assessment preferred
- Proficiency with Office 365 including Word, Outlook, Excel and Teams required
- Willingness and ability to learn and use new software required
- Must be able to timely travel to necessary locations (participant’s home, agencies, other ESP sites, etc.) to perform duties as required in program service areas.
- Experience using an Electronic Medical Record (EMR), specifically EPIC, preferred
- Ability to identify ADL and Skilled Nursing needs required
- Proven ability to resolve problems creatively
- Excellent verbal and written communication skills and organizational skills
- Ability to work independently and as a member of a Team
- Must be able to utilize critical thinking skills to problem solve throughout the day
- Education: an associate degree or a bachelor's degree
Key skills
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Perks
- Health
- Dental
- Vision
- Life
- Disability insurance
- 403b Savings Plan
- Paid Time Off
- 11 additional Holidays
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