Nurse Rev II-Eligibility - Northeastern MA (home based with client visits)
ForHealth Consulting at UMass Chan Medical School2 days ago
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RemoteFull-timeSenior
Summary
ForHealth Consulting at UMass Chan Medical School is seeking a Nurse Rev II-Eligibility to join their team in Westborough, MA. The role involves completing in-person assessments and reviewing medical records to determine clinical eligibility for individuals seeking community support through various waivers.
About the Role
As a Nurse Reviewer II, you will be responsible for conducting assessments of applicants' medical, functional, psychosocial, and supportive needs. You will work as part of a multi-disciplinary team to evaluate clinical eligibility, document findings, and ensure compliance with program guidelines. The position requires statewide travel for in-person assessments and collaboration with healthcare providers and state agencies.
About You
Required:
- 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
Preferred:
- Experience with disabled or long term care populations
- Experience in Long-Term Care, Home Care, Rehab, Brain Injury, Mental Health, Substance Abuse and/or Disabilities
ForHealth Consulting at UMass Chan 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.
Westborough, MA