Membership Nurse

Job description

OFFERING A $5000 SIGN-ON BONUS!*
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. We are currently seeking an Membership/MDS Nurse to join our Enrollment and Membership team at the Elder Service Plan .
Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more!
Role:
The Membership/MDS Nurse conducts required State clinical assessments for potential PACE enrollees and current PACE participants to include the Minimum Data Set – Home Care Clinical Assessment (MDS-HC). The Membership RN ensures completion of all required forms prior to participant enrollment in the program.
Our Membership Nurse must be able to travel in a timely manner between Elder Service Plan sites in Mattapan and Brockton, intake locations including our participant's home and other agencies. Our service area includes Middlesex, Norfolk, Suffolk, Plymouth and Bristol counties.
Responsibilities:
• 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.

Requirements:
• 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

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement.
When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law). As such, most offers will not be at the top of the salary range.
*Sign on bonus: half on hire and remainder at 90 days in good standing, former employees of Harbor Health not eligible.
Monday - Friday, Days
40 hours weekly