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- Tasks: Conduct in-person assessments and review medical records to determine clinical eligibility for community support.
- Company: Join ForHealth Consulting at UMass Chan Medical School, a leader in health care innovation.
- Benefits: Enjoy flexible home-based work with client visits and opportunities for professional growth.
- Why this job: Make a real impact by helping individuals transition back to their communities and receive essential services.
- Qualifications: Must have a Bachelor's in Nursing and current RN licensure in Massachusetts with 5-7 years of experience.
- Other info: Statewide travel is required; experience with long-term care populations is preferred.
The predicted salary is between 36000 - 60000 £ per year.
Nurse Rev II-Greater Boston/Northeast (Home based with client visits)
Join to apply for the Nurse Rev II-Greater Boston/Northeast (Home based with client visits) role at ForHealth Consulting at UMass Chan Medical School
Nurse Rev II-Greater Boston/Northeast (Home based with client visits)
4 days ago Be among the first 25 applicants
Join to apply for the Nurse Rev II-Greater Boston/Northeast (Home based with client visits) role at ForHealth Consulting at UMass Chan Medical School
Job Summary
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for completing in-person assessments and reviewing medical records to determine clinical eligibility for individuals who are residing in a nursing facility, chronic disease, or rehabilitation hospital who would like to return to the community and receive supports and services through the ABI and MFP Home and Community Based Waivers. Additionally, the Nurse Reviewer II completes annual or interval in-person assessments by reviewing medical records, assessing community needs and risks, and provides resource support for program participants/applicants. This position ensures that eligible individuals can be safely served in accordance with relevant program/waiver guidelines and regulations.
Job Summary
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for completing in-person assessments and reviewing medical records to determine clinical eligibility for individuals who are residing in a nursing facility, chronic disease, or rehabilitation hospital who would like to return to the community and receive supports and services through the ABI and MFP Home and Community Based Waivers. Additionally, the Nurse Reviewer II completes annual or interval in-person assessments by reviewing medical records, assessing community needs and risks, and provides resource support for program participants/applicants. This position ensures that eligible individuals can be safely served in accordance with relevant program/waiver guidelines and regulations.
Major Responsibilities
- Contribute as an active member of a multi/inter-disciplinary team to assess, plan, organize, review and evaluate clinical eligibility.
- Conduct on-site assessments of applicants/participants medical, functional, psychosocial, and supportive needs to determine community, whether risks can be mitigated, and mitigation strategies within the terms of the ABI/MFP Waiver.
- Review and document all relevant information into data system applications in accordance with program guidelines and regulations.
- Utilizes critical thinking skills to complete written, clinically based comprehensive assessments that accurately depict the applicants/participants holistic needs, without bias.
- Contact providers, state agency offices, and applicants/participants, and collateral support to obtain information and records needed to conduct a comprehensive clinical review of the case and final determination.
- Review and document all relevant information into data system applications in accordance with program guidelines and regulations.
- Maintain individual records documenting all applicant/participant encounters and contacts.
- Foster and promote continuity of care and cooperative partnerships by liaising with health care providers, acute care hospitals, long term care facilities and other programs/organizations involved in the provision of services.
- Participate in public relations efforts, attending conferences and meetings as needed.
- Maintain positive working relationships with applicants/participants, and relevant informal supports, provider organizations, program consultants and state agencies.
- Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School (UMass Chan)/ForHealth Consulting procedures and HIPAA regulations.
- Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations.
- Comply with established departmental policies, procedures and objectives.
- Comply with all health, safety and program regulations and requirements.
- Participates in training and onboarding of new clinical staff
- State-wide travel is required for this position.
- Perform other duties as required.
Required Qualifications
- Bachelor ‘s Level Degree in Nursing
- RN with current licensure to practice in Massachusetts
- 5-7 years of related work experience
- Knowledge of applicable state regulations
- Ability to travel statewide
- Experience with Office Application and database
Preferred Qualifications
- Experience with disabled or long term care populations
- Experience in one of the following areas: Long-Term Care, Home Care, Rehab, Brain Injury, Mental Health, Substance Abuse and/or Disabilities.
The University of Massachusetts Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.
Seniority level
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Seniority level
Not Applicable
Employment type
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Employment type
Full-time
Job function
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Job function
Health Care Provider
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Nurse Rev II-Greater Boston/Northeast (Home based with client visits) employer: ForHealth Consulting at UMass Chan Medical School
Contact Detail:
ForHealth Consulting at UMass Chan Medical School Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Nurse Rev II-Greater Boston/Northeast (Home based with client visits)
✨Tip Number 1
Familiarise yourself with the ABI and MFP Home and Community Based Waivers. Understanding these specific programmes will not only help you in interviews but also demonstrate your commitment to the role and the population you'll be serving.
✨Tip Number 2
Network with professionals in the field of nursing and healthcare, especially those who have experience with long-term care or community-based services. Engaging with them can provide valuable insights and potentially lead to referrals.
✨Tip Number 3
Prepare for potential scenario-based questions during the interview. Think about how you would handle various situations related to patient assessments and community needs, as this role requires critical thinking and problem-solving skills.
✨Tip Number 4
Showcase your ability to work within a multi-disciplinary team. Be ready to discuss past experiences where collaboration was key to achieving positive outcomes for patients, as teamwork is essential in this role.
We think you need these skills to ace Nurse Rev II-Greater Boston/Northeast (Home based with client visits)
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant nursing experience, particularly in long-term care, home care, or rehabilitation settings. Emphasise any specific skills related to clinical assessments and working with diverse populations.
Craft a Compelling Cover Letter: In your cover letter, express your passion for community health and your understanding of the ABI and MFP Home and Community Based Waivers. Mention how your background aligns with the responsibilities of the Nurse Reviewer II role.
Highlight Relevant Qualifications: Clearly state your Bachelor’s degree in Nursing and current RN licensure in Massachusetts. Include any additional certifications or training that may be relevant to the position.
Showcase Critical Thinking Skills: Provide examples in your application that demonstrate your critical thinking abilities, especially in completing comprehensive assessments and making clinical determinations. This will show your capability to handle the responsibilities of the role effectively.
How to prepare for a job interview at ForHealth Consulting at UMass Chan Medical School
✨Know Your Role
Familiarise yourself with the responsibilities of a Nurse Reviewer II. Understand the importance of conducting in-person assessments and reviewing medical records, as well as how these tasks contribute to the overall goal of supporting individuals transitioning back to the community.
✨Demonstrate Critical Thinking
Be prepared to discuss your critical thinking skills during the interview. Share examples of how you've assessed complex situations in the past, particularly in healthcare settings, and how you developed mitigation strategies for risks.
✨Highlight Team Collaboration
This role requires working as part of a multi-disciplinary team. Be ready to talk about your experience collaborating with other healthcare professionals and how you’ve contributed to fostering continuity of care for patients.
✨Showcase Your Communication Skills
Effective communication is key in this position. Prepare to provide examples of how you've successfully liaised with various stakeholders, including healthcare providers and state agencies, to gather necessary information and support clients.
