Nurse Reviewer II-LOC

Job description

Overview Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for completing in-person assessments and reviewing supporting documentation to determine clinical eligibility for individuals who are residing in the community receiving services through the Family Assistance Pathway. Additionally, the Nurse Reviewer II provides education to MassHealth members on the next steps in the MassHealth eligibility process. Responsibilities: - Provide outreach to members to schedule visits in a timely manner.• Conduct on-site assessments of members’ medical, functional, psychosocial, and supportive needs to determine clinical eligibility completing the MDS-HC assessment and associated forms. • Review and document all relevant information into data system applications in accordance with program guidelines and regulations.• Utilizes critical thinking skills to complete written, clinically based comprehensive assessments that accurately depict the members’ needs, without bias.• Review and document all relevant information into data system applications in accordance with program guidelines and regulations.• Maintain individual records documenting...