Assessment RN

Site: Mass General Brigham Health Plan Holding Company Inc.

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Coordinated Whole HealthCare Duals team is hiring two Assessment RNs for our growing program!

The member population will include in Essex Middlesex Suffolk Norfolk Plymouth Bristol Dukes and Nantucket counties.

This positions responsibilities and caseload may be adjusted based on enrollment trends.

Job Summary

The Opportunity

Mass General Brigham Health Plan is an Assessment Registered Nurse (RN) to perform initial and ongoing face-to-face virtual or telephonic comprehensive assessments and evaluations. The Assessment RN is responsible for ensuring the accuracy and quality of all assessments as well as the timely submission of documentation to MassHealth.

The Assessment RN completes timely accurate and high-quality assessments. They utilize tools such as the Minimum Data Set (MDS) Comprehensive and Functional Assessments to gather relevant data enabling them to identify enrollees concerns and unmet needs.

The Assessment RN collaborates closely with the enrollees Interdisciplinary Care Team and other departments to facilitate timely interventions aimed at improving outcomes for members.


Essential Functions
Conducts initial and ongoing comprehensive face-to-face assessments and evaluations for members. Outreach may occur via telephone electronic communication or in-person visits depending on the enrollees preferences and current needs.
Travels to enrollees homes community locations and residential sites to complete comprehensive assessments.
Ability to independently manage scheduling including coordinating face-to-face appointments with members as needed.
Collaborates closely with primary care providers the interdisciplinary team and the community care management team to ensure coordinated care.
Completes medication reconciliation
Provides acute and chronic disease management education
Provides analyzed assessment data to the Interdisciplinary Care Team (ICT) to support the development of a more effective individualized care plan (ICP) for the enrollee.
Demonstrates the adaptability and readiness to navigate frequent fast-paced changes and shifting priorities.

• MA Registered Nurse required
• Associates Degree Nursing required; Bachelors DegreeNursing preferred
• Valid Drivers License and reliable transportation
• Minimum of 3-5 years experience in health plan or community case management
• Experience with community case management and comprehensive assessment (MDS) Preferred
• Experience with Dual Eligible Populations (Medicare and Medicaid) preferred
• Bilingual candidate preferred English and Spanish Portuguese French and/or Chinese

Skills for Success

• Competency in working with multiple health care computer platforms nice to have EPIC experience
• Experience working with individuals with complex medical behavioral and social needs
• Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams
• Critical thinking and problem-solving skills. Demonstrates autonomy in decision making
• Uses prudent judgment based upon objective information clinical experience and nursing process.
• Strong organizational skills with an ability to manage routine work triage and reset priorities as needed
• Interpersonal skills and ability to work effectively with providers and their staff to develop rapport build trust and promote Population Health initiatives. Excellent oral written and telephonic skills and abilities
• Competency in working with multiple health care computer platforms
• Ability to work effectively in a complex fast paced medical environment and multiple practice locations
• Ability to work independently while contributing to a collaborative team environment
• Knowledge of healthcare and community services to assist enrollees effectively
• Must be comfortable with change have the ability to adapt and pivot as part of continuous process improvement activities

Working Model Required

• This is a full-time position with a schedule of Monday through Friday 8:30 AM-5:00 PM EDT

• This is a hybrid schedule which includes practice-based work remote work and in-person home and community visits (these days will vary weekly and these visits may increase as the program launches)

• Must be local ideally in Eastern MA with the ability to travel to the community.

• This role offers autonomy to build own schedule to accommodate members needs.

• Remote working days require a stable quiet secure compliant working station and access to Teams Video via MGB equipment

Our goal will be to geographically align employees; this depends on residence and can vary based on business needs member enrollment and team staffing.

Employees must accommodate the hybrid work model including practice-based work remote work and in-person home and community visits with members.

The member population will reside primarily in Norfolk Plymouth Bristol Dukes and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollment trends.

Hybrid

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$58656.00 - $142448.80/Annual

Grade

98TEMP

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework