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Field RN – MDS Assessments
Activate CareRN conducting high-quality home and community health assessments for diverse populations in Massachusetts. Aiming to address health-related social needs through coordinated care programs.
About the role
Key responsibilities & impact- Conduct in-person assessment visits and clinical exams, including relevant screenings within assigned territory.
- Perform medication coaching and reconciliation, identify adherence concerns, and provide patient education on acute and chronic diseases.
- Complete screeners such as PHQ-9, EASI, Audit, and DAST, and Minimum Data Set- Home Care as needed.
- Prioritize and escalate members with urgent needs to RN Supervisor or manager promptly.
- Use electronic health record and claims systems to document and track member interactions and care needs.
- Ensure timely referrals to behavioral health and long-term services as appropriate.
- Manage scheduling and tracking of assessments to ensure timely completion.
- Participate in quality improvement activities and maintain clinical competencies.
- Maintain effective communication and a constructive work environment with team members.
- Comply with organizational policies, privacy regulations, and documentation standards.
- Provide clinical assessments via telehealth when appropriate.
- Continuously assess member’s engagement within the designated care pathway, and determine program fit.
- Collaborate with care, decision makers to ensure program alignment.
- Other duties as assigned.
Requirements
What you’ll need- Associate Degree in Nursing required; Bachelor’s in Nursing preferred.
- RN license in good standing in the Commonwealth of Massachusetts.
- Minimum of 1 year clinical experience (including clinical rotations).
- Experience working in HIPAA-compliant or healthcare settings.
- Experience with electronic medical records (EMR).
- Prior experience in care management or managed care.
- Ability to conduct independent assessments and escalate clinical concerns appropriately.
- Strong organizational, communication, and interpersonal skills.
- Intermediate to advanced proficiency in Microsoft Office and EHR platforms.
- Able to work independently in the field and navigate shifting priorities.
- Willing to travel throughout Massachusetts with a valid, unrestricted driver’s license.
- Comfortable with technology and remote collaboration platforms.
- Candidates with bilingual proficiency in English and Spanish are strongly encouraged to apply.
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Activate Care Website LinkedIn All Job Openings 51 - 200 employees Activate Care is a nationally-recognized provider of social risk management solutions. Path Assist from Activate Care is designed to improve community health outcomes by proactively screening populations for social needs and utilizing our community health navigators interventions leading to better outcomes. Field RN – MDS Assessments Job not on LinkedIn 🔥 22 minutes ago 🏢🏡 Boston – Hybrid ⏰ Full Time 🟢 Junior Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Conduct in-person assessment visits and clinical exams, including relevant screenings within assigned territory.
- Perform medication coaching and reconciliation, identify adherence concerns, and provide patient education on acute and chronic diseases.
- Complete screeners such as PHQ-9, EASI, Audit, and DAST, and Minimum Data Set- Home Care as needed.
- Prioritize and escalate members with urgent needs to RN Supervisor or manager promptly.
- Use electronic health record and claims systems to document and track member interactions and care needs.
- Ensure timely referrals to behavioral health and long-term services as appropriate.
- Manage scheduling and tracking of assessments to ensure timely completion.
- Participate in quality improvement activities and maintain clinical competencies.
- Maintain effective communication and a constructive work environment with team members.
- Comply with organizational policies, privacy regulations, and documentation standards.
- Provide clinical assessments via telehealth when appropriate.
- Continuously assess member’s engagement within the designated care pathway, and determine program fit.
- Collaborate with care, decision makers to ensure program alignment.
- Other duties as assigned. 🎯 Requirements
- Associate Degree in Nursing required; Bachelor’s in Nursing preferred.
- RN license in good standing in the Commonwealth of Massachusetts.
- Minimum of 1 year clinical experience (including clinical rotations).
- Experience working in HIPAA-compliant or healthcare settings.
- Experience with electronic medical records (EMR).
- Prior experience in care management or managed care.
- Ability to conduct independent assessments and escalate clinical concerns appropriately.
- Strong organizational, communication, and interpersonal skills.
- Intermediate to advanced proficiency in Microsoft Office and EHR platforms.
- Able to work independently in the field and navigate shifting priorities.
- Willing to travel throughout Massachusetts with a valid, unrestricted driver’s license.
- Comfortable with technology and remote collaboration platforms.
- Candidates with bilingual proficiency in English and Spanish are strongly encouraged to apply. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Referral & Resource Specialist 🔥 47 minutes ago Elevance Health 10,000+ employees Website LinkedIn All Job Openings Referral & Resource Specialist managing inbound calls, texts, and chats for the Massachusetts Behavioral Health Help Line. Performing assessments and ensuring compliance with regulations while coordinating services. 🏢🏡 Boston – Hybrid 💵 $24 - $41 / hour ⏰ Full Time 🟢 Junior 🚫👨🎓 No degree required 🦅 H1B Visa Sponsor Wellness & Recovery Specialist 🔥 47 minutes ago Elevance Health 10,000+ employees Website LinkedIn All Job Openings Wellness & Recovery Specialist focusing on care coordination and recovery activities for members at Elevance Health. This role provides virtual support while requiring residency in Massachusetts. 🏢🏡 Boston – Hybrid 💵 $21 - $36 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 🦅 H1B Visa Sponsor Career Coach – Disabilities 🔥 11 hours ago JVS Boston 51 - 200 🤝 Non-profit 📚 Education 🎯 Recruiter Website LinkedIn All Job Openings Career Coach providing job-readiness training to individuals with disabilities through coaching and small group instruction. Empowering individuals to overcome barriers to employment and build meaningful careers. 🏢🏡 Boston – Hybrid 💵 $46.4k - $58.3k / year ⏰ Full Time 🟢 Junior Career Navigator 🔥 11 hours ago JVS Boston 51 - 200 🤝 Non-profit 📚 Education 🎯 Recruiter Website LinkedIn All Job Openings Career Navigator delivering innovative, customer-focused workforce development services at MassHire Downtown Boston. Assisting job seekers with personalized coaching and job search strategies. 🏢🏡 Boston – Hybrid 💵 $46.4k - $51.7k / year ⏰ Full Time 🟢 Junior 🟡 Mid-level Career Coach 🔥 11 hours ago JVS Boston 51 - 200 🤝 Non-profit 📚 Education 🎯 Recruiter Website LinkedIn All Job Openings Career Coach at JVS providing high quality career counseling to immigrants and refugees. Assisting clients in job search, training, and education pathways to advance their careers. 🏢🏡 Boston – Hybrid 💵 $46.4k - $51k / year ⏰ Full Time 🟢 Junior 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
ATS Keywords
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Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical assessmentsmedication coachingpatient educationscreening toolscare managementtelehealthindependent assessmentsclinical competenciesHIPAA complianceelectronic medical records
Soft Skills
organizational skillscommunication skillsinterpersonal skillsability to escalate concernsindependent workadaptabilityteam collaborationconstructive work environmentengagement assessmentprioritization
Certifications
Associate Degree in NursingBachelor’s in NursingRN license