Summary
Location
Westborough
Type
full-time
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About this role
GENERAL SUMMARY:
Are you a compassionate Registered Nurse who thrives on using your clinical expertise to make a meaningful difference?
Join ForHealth Consulting at UMass Chan Medical School as a Nurse Reviewer II and help ensure that individuals with complex medical, behavioral health, and rehabilitative needs receive the services and supports they need to live safely in their communities.
In this role, you will use your nursing knowledge to conduct clinical reviews and determine eligibility for the ABI and MFP Home and Community-Based Waiver Programs. Your assessments will help shape access to critical services that promote independence and quality of life for adults across the Commonwealth.
This role is home-based with regular client visits throughout Greater Boston and the Northeast region.
No weekends. No holidays. Meaningful work, every day.
RESPONSIBILITIES:
- Conduct in-person clinical assessments of individuals in nursing facilities, rehabilitation hospitals, or chronic care settings seeking to return to community living.
- Review medical records and determine eligibility for ABI/MFP Home and Community-Based Waiver programs.
- Develop comprehensive, unbiased assessments addressing medical, functional, psychosocial, and environmental factors.
- Collaborate with multidisciplinary teams to evaluate community readiness and identify risk mitigation strategies.
- Maintain accurate and timely documentation in accordance with program and regulatory standards.
- Coordinate with healthcare providers, state agencies, and support networks to ensure continuity of care.
- Participate in performance improvement, staff training, and community outreach as needed.
- Travel throughout Massachusetts for assessments (statewide travel 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
Other facts
About University of Massachusetts Medical School
ForHealth Consulting partners with purposeful organizations, including state Medicaid agencies and health and human services organizations, to make the healthcare experience better for all – more equitable, effective, and accessible. We know that to do this, we need to address every aspect of the system – how we pay for it, how we manage information, and how we deliver quality care to everyone. As part of UMass Chan Medical School, we leverage world-class expertise to create transformational solutions across the health and human services system. ForHealth Consulting believes in the power of collaboration and a shared purpose – together, we can make healthcare better.
What you'll do
- Conduct in-person clinical assessments of individuals seeking to return to community living and review medical records to determine eligibility for waiver programs. Collaborate with multidisciplinary teams to evaluate community readiness and maintain accurate documentation.
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