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RN Nurse Case Manager – Assessments
Fallon Health. Conduct home visits for onboarding and regulatory assessments .
Posted 10/6/2026full-timeLowell • Massachusetts • United StatesJunior💰 $96,000 - $100,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting comprehensive health assessments, including Health Risk Assessments and MDS assessments, while collaborating effectively with interdisciplinary teams. Possesses strong communication skills and a solid understanding of regulatory requirements in home health care.
Highest-signal resume keywords
Registered Nurse License in MassachusettsHealth Risk Assessment (HRA)MDS AssessmentsCase Management CertificationHome Health Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical RN ExperienceMedication ReconciliationFunctional AssessmentsLTSS EvaluationsTelehealth Assessments
Soft Skills
Strong Communication SkillsProblem-Solving SkillsAdaptabilityMotivational Interviewing
Tools & Technologies
NaviCare Case Management ProgramState-Required Assessment Tools
Certifications & Qualifications
Case Management Certification
Industry Keywords
MedicareMedicaidOASISHEDISInterdisciplinary Teams
About the role
Key responsibilities & impact- Conduct home visits for onboarding and regulatory assessments
- Complete in-person Health Risk Assessments (HRAs)
- Complete new Personal Care Attendant (PCA) assessments and yearly PCA reevaluations
- Submit yearly and significant-change MDS assessments accurately and timely
- Provide education on the NaviCare case management program
- Conduct telephonic, virtual, and in-person assessments when appropriate
- Collaborate with the Care Team and Utilization Management
- Complete LTSS evaluations
- Conduct in-home assessments using motivational and culturally sensitive interviewing
- Perform medication reconciliation
- Complete State-required assessment tools per contract
- Conduct functional assessments for LTSS programs
- Participate in training and audits
- Maintain program and policy knowledge to educate members
- Support HEDIS, Medicare 5 Star, and other initiatives
Requirements
What you’ll need- Graduate from an accredited school of nursing mandatory
- Active, unrestricted license as a Registered Nurse in Massachusetts
- Certification in Case Management strongly desired
- Must possess a valid driver's license
- Must attest to no disqualifiers per Driver Safety Policy
- Must possess and provide proof of minimal state required auto insurance
- Must have reliable transportation
- 1+ years of clinical RN experience with complex medical, behavioral, and social co-morbidities
- Ability to conduct assessments in-person and telehealth
- Ability to work on interdisciplinary teams
- Skill in screening social determinants of health
- Strong communication and interviewing skills
- Problem-solving skills and adaptability
- Knowledge or willingness to learn regulatory requirements
- Preferred experience: Home Health, OASIS/MDS, Medicare/Medicaid, face-to-face member interactions
- Reliable home internet