MDS Registered Nurse

2 weeks ago

Brighton, Colorado, United States Element Care Full time

GENERAL OVERVIEW

The MDS Registered Nurse plays a vital role within the enrollment team, focusing on the PACE enrollment process tailored to the unique needs of potential participants. This position ensures that census objectives are met while serving as a clinical link between prospective participants, their caregivers, the enrollment team, and various community providers. The role is structured as a full-time position, operating Monday through Friday from 8 AM to 4 PM, with no weekend or holiday commitments. A stipend is available for proficiency in Russian and preferred Chinese dialects.

KEY RESPONSIBILITIES

Enrollment Team Duties

  • Conduct initial consultations to explain the PACE model to potential participants and their caregivers.
  • Verify that potential participants fulfill eligibility requirements in accordance with PACE enrollment regulations.
  • Utilize a strengths-based approach to assess the current needs and health status of potential participants.
  • Maintain proactive communication with the interdisciplinary team (IDT) regarding the enrollment status and progress of prospective participants.
  • Balance the needs of prospective participants and caregivers with the concerns of the IDT.
  • Engage in weekly Enrollment Team meetings to offer clinical insights and support for challenging referrals and any arising conflicts.
  • Ensure accurate data management for new referrals using CRM, EMR software, and relevant state systems.
  • Assist the Marketing and Outreach team during external events.

Nurse Coordinator Duties

  • Conduct home visits for prospective participants to complete and submit the state-required Minimum Data Set - Home Care (MDS_HC).
  • Perform comprehensive assessments, including evaluations of functional status, caregiver involvement, current services, and home safety.
  • Present initial assessments to the PACE IDT for discussion.
  • Identify the need for additional assessments and facilitate them as necessary.
  • Collaborate with the IDT to evaluate the ability of prospective participants to live safely in the community with PACE services.
  • Communicate enrollment progress and status to prospective participants and other relevant parties involved in their care.
  • Facilitate communication among all parties involved in prospective participants' care and the PACE IDT to ensure continuity and smooth transitions.
  • Travel locally as required.
  • Perform additional duties as assigned.

QUALIFICATIONS

  • Associate's or Bachelor's degree in Nursing, or completion of a Nursing Diploma Program.
  • Current Registered Nurse license in the Commonwealth of Massachusetts.
  • At least one year of experience in geriatric healthcare or adult mental health settings.
  • Proficient in advanced computer skills, including Microsoft Office, CRM, and EMR software.
  • Effective communication skills and ability to build relationships with various medical professionals.
  • Capable of responding appropriately to complex clinical situations across diverse settings.
  • Strong understanding of medical and psychiatric diagnoses and treatments.
  • Experience working effectively with individuals from diverse socio-cultural backgrounds.
  • Adept at assessing multiple perspectives and priorities within a goal-oriented framework.
  • Excellent customer relations skills.

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