RN, Clinical Eligibility

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• Time Type: Full time Department: PACE Enrollment and Eligibility All Locations: 300 Ocean Avenue – Revere

Position Summary

Responsible for completing the Minimum Data Set (MDS) with prospective PACE enrollees and also the ongoing annual renewals of all enrollees in the program. Essential

Duties & Responsibilities

Review Profile, Sales Plan & Medical Record of potential enrollee. Assess medical records for documented diagnosis, medications, physical and mental status. Contact potential enrollee to explain & reinforce the purpose of visit and schedule appointment. Visit potential enrollee and gather information to validate medical records and to complete MDS. Complete the MDS, sign, and have provider review and co-sign. Enter in Virtual Gateway. Upon collaboration with enrollment team for enrollment date, enter home care referrals into EPIC. In accordance with MDS due date log, review medical record of participants that are due one month prior to anniversary date. Collaborate with primary nurse to validate information gathered from medical record. Qualifications and Requirements: Graduate of an accredited RN program; BSN preferred. Current Massachusetts license in nursing. Current BLS certification required. Exceptional triage assessment skills. Ability to communicate assessment findings efficiently, effectively and accurately in verbal and written formats. Bilingual a plus. Pay Range: $40/hr up to $60/hr based on experience EEO & Accommodation Statement: NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request Federal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. E-Verify Program Participation Statement: NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment. There’s a reason NeighborHealth (formerly East Boston Neighborhood Health Center) is ranked as one of the "Top Places to Work" by The Boston Globe. It's because we're committed to maintaining a supportive and welcoming environment — for both our employees and our patients — that reflects our mission and culture. We are proud to offer benefits that support you inside and outside of work. We strive to offer a variety of schedules, a diverse and inclusive workforce, and a patient-driven purpose that supports our local community. Additionally, we utilize our Education & Training Institute as a resource for our large employee workforce who seek to broaden their skill base and advance their careers. We hope you consider joining our team! Medical & Dental Coverage Life and Disability Insurance Privileges at Boston Medical Center for Providers 401(K) Retirement Plan Educational Assistance Flexible Spending & Transportation Accounts Paid Holidays, Vacations, Sick and Personal Time A Generous Staff Development Benefit Excellent Malpractice Coverage A Designated Medical Staff Office for Physician Support Free Parking And Much More…