Registered Nurse (RN) Assessor: In-Home Health Assessments

Accountable Care Transactions, Inc.

  • New Bedford, MA
  • 5 days ago

    Highlights

    Responsibilities: Conduct In-Person Assessments in the Field: Routinely travel to members' homes and community settings to engage directly with members and perform required assessments (e.g., Uniform Core, Functional, and Comprehensive Assessments) evaluating physical, cognitive, and functional status while respecting cultural and linguistic needs. Comprehensive Care Management Documentation: Document assessment findings accurately in the health plan's care management platform (GuidingCare) following established workflows, and send prompt SOAP notes to the assigned Care Manager.

    Numbers & Facts

    LocationNew Bedford, MA

    Description

    Job Location: Field-Based - Eastern Standard Time

    FLSA Status: Exempt

    We are actively accepting applications for both Full-Time and Part-Time opportunities. Please note that active onboarding is currently focused on Full-Time positions; however, we welcome and encourage interest from qualified Part-Time candidates for ongoing conversations and future availability.

    Sign-On Bonus Opportunity: Candidates who complete the interview process and accept an offer by November 30 are eligible to receive a $2,000 Sign-On Bonus upon successful hire and onboarding.

    About Activate Care:

    At Activate Care, we're on a mission to improve health equity and drive improved health outcomes across the country. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN). Path Assist is our tech-enabled Community Health Worker program for addressing HRSN utilizing an evidence-based, structured intervention. Our goal is simple: address individuals' unmet HRSNs, increase health confidence, improve self-efficacy, and reduce inappropriate healthcare spend.

    Role Overview:

    This community-focused Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. The role specializes in conducting timely, accurate assessments and documenting findings, then handing off to the health plan's care management team. This is assessment and documentation work, not care plan development or ongoing care management.

    Responsibilities:

    • Conduct In-Person Assessments in the Field: Routinely travel to members' homes and community settings to engage directly with members and perform required assessments (e.g., Uniform Core, Functional, and Comprehensive Assessments) evaluating physical, cognitive, and functional status while respecting cultural and linguistic needs.
    • Comprehensive Care Management Documentation: Document assessment findings accurately in the health plan's care management platform (GuidingCare) following established workflows, and send prompt SOAP notes to the assigned Care Manager.
    • Maintain High Quality & Timely Submissions: Submit complete documentation within 48 hours of each assessment, consistently meeting health plan quality standards and resolving any audit or review findings within two business days.
    • Uphold Safety & Mandated Reporting Standards: Follow field-safety guidelines during independent home visits, escalate clinical or safety concerns appropriately, and adhere to state mandated reporter laws for abuse, neglect, or exploitation.
    • Ensure Regulatory & Compliance Alignment: Adhere strictly to HIPAA privacy rules, NCQA standards, and applicable regulatory requirements while completing all ongoing mandatory training to maintain platform access.

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