PACE MDS​/Enrollment Nurse

The MDS/Enrollment Nurse is responsible for ensuring potential and/or current PACE participants meet the clinical requirements according to the Minimum Data Set (MDS) assessment. The role conducts home visits and assists in completing the intake Prospect sheet for visits. The MDS Nurse manages all aspects of the clinical assessment and collaborates with other departments to provide clinical information.

• Conducts home visits to provide clinical assessment for prospective participants.
• Performs all necessary actions to complete initial and annual state required clinical assessments.
• Provides clinical information to the IDT and contributes to the completion of the initial MDS and provisional care plan; acts as a liaison between PACE and the pre-enrollees current home services.
• Submits completed MDS to EOEA/OLTC.
• Completes reassessment and submission of expired clinical assessments.
• Ensures the presence of completed and signed Health Care Proxy, Medical Record Form and other designated forms.
• Provides detailed clinical information of potential applicants to IDTs to assist them in preparing for the transition of new enrollees.

• Adheres to UCHC, Inc. standards of Employee Conduct and all related policies and procedures by: demonstrating excellent customer service; showing respect to other employees; adhering to standards of cultural competency and non-discrimination; adhering to standards of privacy; adhering to attendance and other policies and utilizing appropriate notification procedures.
• Upholds procedures and systems to safeguard the confidentiality of all patient and employee information.
• Upholds safety policies, practices, and procedures including safety, fire safety, electrical safety, proper body mechanics and material handling, office/ergonomic safety and other employee safety measures.
• Attends PACE and other required trainings annually.

• Home Care experience preferred.
• Experience with ICD-10 coding.
• Prepare concise and clear visit assessments.
• Excellent organizational skills.
• Good knowledge of Microsoft Word applications including Excel, Access and Power Point.
• Second language is strongly preferred (English/Spanish, English/Portuguese Creole, English/French Creole).
• Knowledge of electronic health data systems including PACE CARE Online (PCO) is preferred.

• Current MA Registered Nurse (RN) License and BLS required.
• One year of experience working with an elder population, 2+ years experience in a healthcare setting.
• Excellent verbal and written communication skills.
• Ability to identify ADL and Skilled Nursing needs.
• Ability to work independently and as a member of a team.

• MA valid driver s license with appropriate automobile insurance required.