Description

Classification: Per Diem
Work Schedule: Flexible/Hybrid
Reports To: Senior Director, Family and In-Home Supports

Position Overview

As an RN in this role, you will conduct assessments, develop care plans, provide case management, and support caregivers to ensure individuals receive high-quality care. You will also play a vital role in training caregivers, auditing health records, and ensuring compliance with program requirements.

This position is per diem (15-20 hours per week) with flexible scheduling and a hybrid work model, including monthly home visits across Metrowest, Newton, Needham, Weston, and Norwood.

Essential Duties

Assessments & Care Plans

• Complete nursing assessments and coordinate all other applicable evaluations.
• Develop and review AFC care plans in collaboration with healthcare providers and the Program Director/Care Manager.
• Assist in screening individuals for program eligibility and assess home settings.
• Plan and implement discharges and transitions from the AFC program.

On-Site Visits & Compliance

• Conduct monthly on-site visits
• Ensure care plans are implemented and complete progress notes after each visit.
• Conduct regular evaluations and annual assessments to ensure compliance.
• Review AFC caregiver logs at least monthly.
• Complete and sign the designated screening tool required for MassHealth payment.

Caregiver & Staff Training

• Train, evaluate, and supervise AFC caregivers in conjunction with the Program Director/Care Manager.
• Offer specialized training for AFC caregivers on healthcare topics.
• Provide staff training on safe lifting, transfer, and positioning.

Case Management & Clinical Support

• Act as a resource for caregivers, individuals, and families.
• Provide case management for members with complex or acute health issues.
• Submit semi-annual health status reports to primary care physicians.
• Provide on-site assessment or treatment of individuals, as needed.
• Assist in obtaining adaptive equipment and devices.

Audits & Quality Assurance

• Conduct periodic audits of health care record-keeping practices and document findings.

Required Skills & Responsibilities

• Interpersonal Skills: Engages effectively with individuals at all levels inside and outside the agency.
• Teamwork & Collaboration: Works closely with team members and management to achieve goals.
• Dependability & Responsibility: Completes job responsibilities with accuracy and reliability.
• Communication: Demonstrates clear and concise oral and written communication.
• Planning & Organization: Effectively manages tasks, adapts to change, and prioritizes workload.
• Initiative: Demonstrates self-reliance in planning and executing responsibilities.
• Data Collection & Reporting: Compiles information electronically for timely and accurate reporting.

Qualifications

Qualifications

• Fully licensed RN by the Massachusetts Board of Registration in Nursing.
• At least 2 years of recent experience in direct care for elderly or disabled adults.
• Knowledgeable in Positive Behavioral Supports.
• Valid Massachusetts Driver’s License and access to personal transportation (travel required; mileage reimbursed).
• Proficiency in Microsoft applications and electronic health records.
• Must authorize a Criminal History Background Check (CORI) and release relevant information from agencies like DPPC and DDS.
• Must successfully complete:
• Pre-employment physical (within 12 months before hire).
• TB test (within the first 30 days of hire).
• Ongoing physicals every two years and TB screenings per CDC/MDPH guidelines.