CAE Registered Nurse

Job Title: Clinical Assessment and Eligibility Registered Nurse (RN)

Business Unit: Executive Office of Aging and Independence (AGE)

Department: Coordination of Care (CAE)

Reports to: Senior Director of Nursing

FLSA: Exempt

Classification: Regular Full-time (35 Hours)

Grade: 11

Salary: $80,000 per year

SUMMARY OVERVIEW

The Clinical Assessment and Eligibility (CAE) Registered Nurse at Boston Senior Home Care functions as part of an interdisciplinary team and participates in the assessment of consumers in both community and nursing facility settings.

Responsibilities include conducting comprehensive clinical assessments to determine eligibility for programs funded by the Executive Office of Aging and Independence (AGE) and the Division of Medical Assistance, as well as evaluating clinical eligibility for nursing facility level of care.

ESSENTIAL FUNCTIONS

Essential Job functions: Duties ____1___ through __12_____are designated as ADA Essential Functions and must be performed in this job. All other job duties are secondary functions. [TBD]

1. Conducts nursing assessments for MassHealth or MassHealth pending consumers, who reside in the community, for Home Care programs and or for nursing facility admission; determines clinical eligibility for those consumers in nursing facilities.
2. Participates in the peer review process of consumer records.
3. Provides consultation to case managers and other staff members regarding medical and nursing issues, insurance reimbursement and the Money Follows the Person Demonstration, MFP.
4. Through the Section Q process, identifies potential MFP consumers and other nursing facility consumers who wish to return to the community.
5. Conducts weekly nursing facility onsite visits, meets with facility social services and conducts clinical eligibility assessments.
6. Takes part in interdisciplinary team meetings in nursing facility settings to support a consumer's timely transition to the community and enrollment in specialty Home Care and MFP demonstration programs and waivers.
7. Collaborates with BSHC and other ASAP registered nurses and case managers for Home Care consumers who presently reside in nursing facilities.
8. Performs clinical assessments and screenings for consumers in the BSHC area for programs and services funded by DMA.
9. Provides support and training in the screening process to hospitals, nursing facilities, ADH and certified home health agencies.
10. Develops and implements in-service programs on medical issues for staff and outside agencies.
11. Maintains collaborative relationships with agencies and institutions that serve BSHC clients, and maintains cooperative and effective working relationships with internal and external customers.
12. Participates and assists with outreach programs.

COMPETENCIES

• Knowledge of the mental health, elderly and developmentally disabled populations.
• Strong assessment, independent caseload management, and interpersonal skills.
• Ability to communicate effectively and work collaboratively with consumers and co-workers.
• Solid computer skills and experience.

SUPERVISORY RESPONSIBILITY

This position does not have supervisory responsibilities.

WORK ENVIRONMENT

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, printers, copiers, filing cabinets.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• The employee must be able to carry 15 to 20 lbs.
• The employee is regularly required to talk and hear
• The employee is frequently is required to stand, walk, use hands to finger, handle or feel, and reach with hands and arms

POSITION TYPE/EXPECTED HOURS OF WORK

This is a full-time position, Monday-Friday, 9:00 AM -5:00 PM

TRAVEL

This position requires up to 25% travel.

Must be able to travel to the community to perform visits at consumers' homes (may have limited accessibility), and travel under all weather conditions.

REQUIRED/PREFERRED EDUCATION AND EXPERIENCE

• Must have a valid Registered Nurse's license from the Commonwealth of Massachusetts
• Must have a valid driver's license.
• Must have a Bachelor's degree in Nursing or an Associates of Science Degree in Nursing and at least one (1) year of clinical experience and/or nursing in a community or long-term care setting; or an Associate Degree in Nursing and five years of experience, with two years of community-based nursing or long-term care setting. This person must be supervised by the Nurse Manager, or
• A Diploma RN and two (2) additional years of community-based nursing experience or long-term care direct service experience. This person must be supervised by the Nurse Manager.

ADDITIONAL ELIGIBILITY QUALIFICATIONS

None required for this position.

WORK AUTHORIZATION/SECURITY CLEARANCE

• Must be able to work in the United States

AAP/EEO STATEMENT

Equal Employment Opportunity/Affirmative Action/Male/Female/Veteran/Disabled – Boston Senior Home Care affirms and supports diversity and inclusion in our workforce and recognizes all EEOC Factors.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.