Registered Nurse: Clinical Assessment and Evaluation

_ Full time and Part time opportunities available_

The basic function of the Clinical Assessment and Evaluation RN, (CAE RN) is to screen clients for Nursing Home, Adult Day Health, and 2176 Waiver eligibility. Assess clients for personal care. Provide nursing consultation to case managers, clients and providers of personal care.

Responsibilities:

• Do on site assessments for Nursing Home (SNF), Adult Day Health (ADH) and 2176 Waiver screenings as needed in our service area.
• Assess clients for personal care and confer with Care Managers about the client’s total care plan.
• CAE RN will have the ability to determine medical eligibility for all CAE screenings: SNF, ADH, 2176 Waivers, Enhanced Community Options Program (ECOP), and Community Choices.
• Fill out the CDS RN 3 in SAMS to assess for personal care.
• Monitor and supervise the appropriateness, frequency and quality of personal care service via an annual visit.
• Attend meetings with providers, case conferences and be available for consultations as necessary.
• In conjunction with Care Managers, (CM), CAE RN determines client appropriateness for specific service options, promotes cost effective service substitutions, and establishes the frequency, scope and duration of services.
• Participates in assessment and interdisciplinary review of cases; consults with involved caregivers and documents findings.
• Advocate for HC clients with HMO’s, VNA’s and MD’s.
• Provides consultation to providers and other community agencies.
• Maintains records and prepares reports as requested, including case summaries for Department of Medical Assistance hearings.
• The CAE RN is responsible for maintaining collaborative relationships among community agencies and institutions that service medical and social needs of clients.
• Perform, as needed, 2176 Waiver yearly re-determination via home visit or by contacting the CHHA or ADH for medical information.
• Discuss with Care Manager as requested to determine type of respite service the client requires. When necessary, do a home visit and assessment.
• Confers with Care Managers on all hospital discharged Personal Care (PC) clients. Makes home visits when necessary.
• Whenever the CAE RN or CM identifies a client in need of Certified Home Health Services (CHHS), the ASAP RN will make a home visit and complete the assessment form.
• CAE RN meets and confers with CM, CM supervisor and RN supervisor to make recommendation regarding the needed CHHS services.
• CAE RN will document any conference the RN initiates with case manager on client’s journal notes (ICC).
• Maintain work area in a neat and professional manner.
• Perform any miscellaneous duties and assignments as directed by CAE nurse manager.

Essential Functions/Qualifications:

• Must have valid/current RN license in the state of Massachusetts.
• Must have minimum of one year of clinical experience.
• Regular and reliable attendance.
• Organizational and time management skills
• Communication Skills with consumers, physicians, family members, providers (telephone, email or in person, as needed) and employees.
• Communication Skills to include public speaking
• Communication skills with funders, state and federal agencies, ASAPs
• Cultural competency and the ability to provide informed advocacy
• Knowledge of home and community-based service systems and how to access and arrange services
• Program planning
• MassHealth programs
• Purchased services
• Knowledge and experience with long term care and social service delivery system; community resources
• Familiarity with state wide health care network
• Meet deadlines in a timely fashion
• Able to develop and maintain positive effective relationships with providers, consumers, and the public
• Problem solving skills
• Works as a member of a team and works independently
• Motor vehicle and Valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check
• Accurate record keeping skills
• Maintain Confidentiality
• Attention to detail
• Computer Acuity
• Ability to be flexible and work in a fast-paced environment
• Maintain caseload/production at program/department standards

Physical Demands:

• Computer access
• Ability to traverse homes, yards and stairways.
• Must be able to sit for periods of time at computer or while driving.
• Must be able to carry files of up to 5 pounds and laptop.
• Frequent Standing and walking

Work Environment:

• Traditional office environment along with meeting consumers at their homes or in public places.

Tri-Valley offers a 4 day flex week (one day off per week) and a new 5 day flex schedule that allows staff to work 9 AM -3 PM with the flexibility to complete their daily schedule from home.

Please check out our website www.trivalleyinc.org to apply and for more information about us.

Job Type: Full-time

Pay: From $32.50 per hour

Benefits:

• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Home Health

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Work Location: In person