Nursing Jobs in Hopkinton, MA
$110,000 - $115,000 / year
Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Clinical Documentation Review RN is responsible for auditing care plans, health risk assessments, MDS assessments and other clinical documentation to ensure accuracy, completeness, and compliance. This role supports quality of care and regulatory adherence by reviewing documentation against CMS and state contractual guidelines. The reviewer provides feedback and guidance to clinical teams to promote accurate, consistent and compliant documentation that reflects the member’s health status and care needs. Responsibilities Primary Job Responsibilities: Audits documentation ensuring documentation meets quality standards and interventions and actions are effective to meet member needs Conduct audits of medical records to verify that documentation supports the services provided, meets regulatory standards, and aligns with SCO program requirements. Ensure interdisciplinary care plans are updated and reflect current member needs and are in compliance with regulatory and accreditation requirements. Confirm that assessments are documented and integrated into care planning. Audit MDS-HC forms entered into the State’s System to ensure compliance with current Supplemental Instructions Audit documentation for evidence of care coordination across medical, behavioral health, and long-term services. Ensure transitions of care (e.g., hospital discharge) are documented with follow-up plans and communication between providers. Identify documentation gaps that may impact care coordination, reimbursement, or compliance with MassHealth, CMS, and SCO-specific guidelines. Collaborate with providers and care teams to clarify clinical documentation through queries and feedback, ensuring accurate reflection of patient acuity, diagnoses, and care plans. Monitor trends and patterns in documentation errors or omissions and recommend corrective actions or process improvements. Educate clinical staff on best practices for documentation, including SCO-specific standards, regulatory updates, and audit findings. Participate in interdisciplinary and team meetings to provide insight into documentation quality and contribute to care planning and compliance strategies. Maintain audit logs and reports to track findings, follow-up actions, and performance metrics related to documentation quality and integrity. Collaborate with departments throughout Fallon to ensure documentation aligns with company policies and procedures. Qualifications Education: Graduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred License/Certifications: License: Active, unrestricted license as a Registered Nurse in Massachusetts Certification : Certification in Case Management preferred Other: Satisfactory Criminal Offender Record Information (CORI) results, reliable transportation Experience: 4+ years job experience as a Registered Nurse working in a care management/care coordination role in a managed care payor operating a dual Special Needs Plan required. Experience with NCQA, CMS, and other required regulatory requirements and experience writing and developing policies and process documents required. Experience with developing audit tools, auditing team member performance, and working with staff to improve their performance preferred. Demonstrated proficiency including but not limited to: Ability to develop a system and process to objectively measure care management competencies and to hold team members accountable, including, but not limited to developing corrective action plans, as appropriate Ability to identify gaps in staff’s knowledge base and to design training materials to address those gaps Ability to teach others in an organized and structured manner utilizing adult learning principles and collaboration skills Advanced skills in software systems including but not limited to Microsoft Office Products – Excel, Outlook, and Word Manipulation of Excel spreadsheets to manage work and exposure and familiarity with pivot tables desirable Working with an interdisciplinary care team as a partner demonstrating respect and value for all roles and is a positive contributor within job role scope and duties Knowledgeable about medical record documentation Critical thinking skills for independent problem solving Prior experience with clinical documentation review, quality audits, or utilization review preferred. Familiarity with chronic disease management, care planning and transitions of care. Experience with Minimum Data Set- Home Care assessments and requirements associated with such. Access and ability to navigate the State’s Virtual Gateway platform for MDS-HC review and submission Excellent attention to detail, analytical skills, and ability to identify discrepancies in documentation. Proficiency with EMR systems and audit tools. Strong written and verbal communication skills; ability to provide constructive feedback to clinical staff. Strong knowledge and understanding of current State Supplemental Instructions for MDS-HC submission for rating category assignment Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $110,000 - $115,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. . Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Join our growing care team! We are urgently hiring CNAs, HHAs, PCAs, and Caregivers who are passionate about helping clients maintain comfort, safety, and independence at home. What You'll Do Assist with personal care and hygiene needs Support mobility, transfers, and daily activities Help with meal preparation and feeding assistance Provide companionship and emotional support Complete light housekeeping tasks Monitor and report changes in client condition What We're Looking For CNA, HHA, PCA, or caregiving experience preferred Reliable and compassionate Strong communication skills Ability to provide quality care independently Scheduling Options Day, night, overnight, live-in, weekend, weekdays, and short shifts available. Benefits Flexible scheduling Immediate opportunities Ongoing assignments Additional shift availability Supportive care team 
$100,000 - $107,000 / year
Overview Admissions Registered Nurse / RN , Hospice Location: Norwood, MA Position: Admissions Registered Nurse / RN, Hospice $10k SIGN ON BONUS! Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Greater Boston and surrounding areas Find Your Passion and Purpose as a Hospice Admissions Registered Nurse Salary: $100,000 - $107,000 / year Schedule: 3 12 hour shifts - 10am - 10pm plus weekend rotation Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Hospice Admissions RN You Can Be If you meet these qualifications, we would love to meet you: Licensed as a Registered Nurse in the state(s) of practice, with an associate degree preferred and CPR certification recommended (required for direct patient care in Georgia). Must meet state-specific regulatory requirements. Previous nursing experience in hospice, home health, general medical-surgical, or population-specific care (e.g., pediatrics, geriatrics) is required, along with willingness to serve on-call. Must have a reliable vehicle, valid driver’s license, and the minimum required liability auto insurance. Strong communication and organizational skills, with working knowledge of Microsoft Office Suite and EMR systems. Must be able to work effectively as part of an interdisciplinary team. Physically able to lift patients over 200 pounds (with assistance), stand, walk, sit, stoop, and perform other physical movements frequently. Regular exposure to indoor environments, vibration, and moderate noise expected. Responsibilities: Assess patient and family for physical, psychological, social and spiritual needs and collaborates with patients and families, physician, and Interdisciplinary Group (IDG) to establish the plan of care, implement interventions and/or evaluate care Initiate and maintain communication with attending physician, Medical Director, IDG, Team Director (TD), and IDG and other agencies to coordinate optimal care and use of resources for the patient and family Especially, in the event of unusual or potentially problematic patient and family issues Document according to protocol and maintain up-to-date patient records. Ensure plan of care problems, interventions, actions and goals reflect baseline, current, and ongoing status, and changes as they occur Participate in On-Call or Admissions assignment/rotation, as directed Provide education to patient and caregiver(s) as needed, based on knowledge needs and learning assessment, patient and family condition, in keeping with plan of care Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability. 
$120,000 - $200,000 / year
Floating Director of Nursing (DNS) Needed for Marquis Skilled Nursing & Rehab Facilities in Rhode Island! Typical Schedule: Day shifts, Monday - Friday, with a rotating on-call requirement with other nursing leadership Join a company that admires, cares, appreciates and values their employees! We offer many exciting benefits: Generous Tuition Reimbursement Employee Referral Bonus Health, Vision, and Dental Benefits 401K with Company Match Pet Insurance Cell Phone Discounts Childcare Discounts Gym Membership Discounts Restaurant Discounts Movie Theater Discounts Employee Engagement/Culture Commitee Company Paid Life Insurance Employee Assistance Program Resources Same day pay option available! Requirements: Must possess a current, unencumbered, active license to practice as an RN in RI Must be able to travel to several skilled nursing facilities in Rhode Island Provide oversight and direction to clinical team Make rounds with physicians, as necessary Develop and maintain positive relationships with residents, family members, staff and medical team Other special projects and duties, as assigned Nursing degree from an accredited college or university preferred Three (3) years or more years of experience as a manager/Director of Nursing in a nursing care center, hospital or other related health care center Must have a minimum of two (2) years of experience in rehabilitative and restorative nursing practices Primary series of COVID vaccination is required You may see our Rhode Island facilities here: https://mqshealth.com/specification_types/skilled-nursing-facilities/ Range $120k-$200k / per year INDHP #LI-JG1 
