Nursing Jobs in Hudson, MA
$84,300.22 - $107,481.20 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including assessments, interventions, and supportive care to clients within their place of residence. Depending on the circumstances, duties may also include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key member of the health care team, this position must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care while maintaining their own safety in the home and the community at large. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure and NH Licensure. 2 . Valid state issued Driver’s License. 3. One (1) year of acute medical/surgical nursing experience. 4. Basic Life Support Certification. Preferred Qualifications : 1. Bachelor of Science in Nursing (BSN). 2. Specialty nursing certifications. 3. Three ( 3 ) years of acute nursing including medical/surgical, oncology, hospice, or home health . 4. Experience with IV and complex wound care. Hours: Full Time, 40 Hours, Weekend/Holiday Commitment Territory: Lawrence, MA and surrounding areas. Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list . Other duties and responsibilities may be assigned. 1. Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and Agency policies and procedures. Provides ongoing interdisciplinary assessment of the patient. 2. Assesses patient/family learning needs, style and limitations and makes adjustments for delivery of information. 3. Recognizes/identifies patients/ caregivers’ cultural beliefs re: death and dying and is sensitive to those beliefs. 4. Establishes realistic goals and develops plan of treatment in cooperation with the patient, family and members of the health care team. 5. Identifies abuse and/or neglect and identifies reporting mechanism per policy. 6. Adapts to new and unusual situations without affecting work performance negatively. Utilizes Security when and if needed for any potential unsafe situations. 7. Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge. 8. Continuously assesses/evaluates patient and family progress and goal achievement, keeping Clinical Manager advised and justifying continuation and/or termination of services. 9. Documents patient data, activities, and communications in patient record using computer system in a timely , organized, concise manner to ensure compliance with legal, certification, third party payor guidelines and Agency policies. 10. Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies. Reconciles medications with patient and physician consistently. 11. Demonstrates and practices according to safety guidelines and procedures including general ergonomics, fire, and personal safety . Utilizes proper body mechanics and patient material handling. 12. Demonstrates an awareness of safety and security issues by responding appropriately to emergency situations and following established procedures and protocols utilizing stabilizing techniques. 13. Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. 14. Effectively manages assigned caseload, within the team model of care delivery . Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency . 15. Provides nursing coverage on a rotating basis for evenings, nights, weekends and Holidays. 16. Demonstrates excellent physical assessment and care planning skills. Demonstrates current knowledge of pharmacology and medication administration and reconciliation. 17. Coordinates care and discharge planning with other team members during case conferences. 18. Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided. 19. Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed. Physical Requirements : 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. N oise level in the work environment is usually moderate. 7. May be exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served . 2. Demonstrates competence in Home Health and Hospice standards of care, symptom management, psychosocial, and spiritual aspects of care. 2. Excellent interpersonal skills with the ability to communicate, read, and write in Englis h. 3. Ability to function well , effectively manage time, and prioritize busy schedules. 4. Good organization al skills. 5. Ability to function effectively , autonomously , and independently in a home care setting. 6. Ability to function effectively and autonomously in a home care setting. What We Offer Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field About Care at Home: Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $84,300.22 - $107,481.20 Director of Nursing-SNF/LTC Located in Fitchburg, MA **APPLY TODAY** Salary Up To $150K Per Year; BASED ON EXPERIENCE Requirements of the Director of Nursing: Must have valid Massachusetts RN License Prior experience as a Director of Nursing preferred Must have strong clinical background and knowledge Proven Leadership & Management skills Strong verbal and written communication skills Responsibilities of the Director of Nursing: Supervising all nursing staff Overseeing department budgets Reporting to higher management in the healthcare facilities Maintaining high standards of care for all patients Managing patients’ data and medical records as confidential records Communicating with doctors, patients and family members about patient health Recruiting, training and onboarding new nursing staff Providing ongoing education classes Implementing new procedures and training Nurses on policies #3188 
$81,510 - $108,030 / year
Salary $81,510 / yr - $108,030 / yr Overview RN – MDS Coordinator Turn Clinical Expertise Into Better Outcomes. Shape Individualized Care. Make an Impact at West Roxbury. Are you a Registered Nurse (RN) with experience in skilled nursing, Medicare, and the MDS process? Do you have a strong understanding of resident assessment, care planning, and reimbursement methodology — and enjoy bringing clinical knowledge, organization, and collaboration together? We want to talk with you! At West Roxbury Health & Rehabilitation Center , our MDS Coordinator plays an essential role in connecting clinical assessment with quality resident care. As a 76-bed skilled nursing and rehabilitation community in West Roxbury, Massachusetts , we provide Short-Term Rehabilitation and Long-Term Care , along with specialized support including hospice care and respite care . Our interdisciplinary team delivers personalized nursing care, rehabilitation services, and clinical support while creating a welcoming environment focused on resident dignity, comfort, and quality of life. If you're looking for an opportunity to use your nursing expertise beyond the traditional bedside setting while remaining closely connected to resident care, this could be the role for you. Your Expertise Has a Direct Impact on Resident Care The MDS process is about much more than completing assessments. It provides a comprehensive picture of each resident's clinical and functional needs and helps our interdisciplinary team develop a care plan that is individualized, accurate, and responsive to the resident's changing needs. As the RN – MDS Coordinator , you will serve as a key clinical resource for the facility, bringing together information from nursing, rehabilitation, social services, dietary, medical records, residents, families, and other members of the care team. You'll help ensure that assessments are completed accurately and on time, care plans reflect current resident needs, and the facility remains aligned with Medicare, Medicaid, Managed Care, and regulatory requirements. Why This Role Matters Every MDS assessment tells a story. It captures important information about a resident's functional abilities, cognition, mood and behaviors, nutrition, clinical conditions, and overall well-being. That information becomes the foundation for decisions about care. At West Roxbury, your work will help ensure that each resident's unique needs are accurately understood and reflected in their individualized plan of care. Whether supporting a resident working toward greater independence through short-term rehabilitation, someone receiving ongoing long-term care, or a resident and family navigating hospice or respite services, your clinical insight helps guide the care our team provides. This is an opportunity for an experienced RN who enjoys combining clinical judgment with organization, communication, critical thinking, and attention to detail. You'll work closely with leadership and an interdisciplinary team while becoming a key resource in the facility's assessment, care planning, and reimbursement processes. The role may also provide opportunities to support other Elderwood communities and participate in professional development through the Elderwood Learning Center. Your work helps our team: Identify and respond to changing resident needs. Develop meaningful, individualized care plans. Coordinate services across disciplines. Support positive clinical outcomes. Maintain compliance with regulatory requirements. Ensure accurate Medicare, Medicaid, and Managed Care processes. Advocate for residents by making sure their needs are accurately represented. The Support You Need to Succeed At West Roxbury Health & Rehabilitation Center , you won't be working in isolation. You'll have the support of facility nursing leadership as well as Elderwood Administrative Services, including clinical and operational resources designed to help our teams succeed. You'll have the opportunity to collaborate with experienced nursing professionals and access resources in areas including: Clinical operations Quality and regulatory compliance Reimbursement Professional development Nursing leadership Education and training Comprehensive Benefits & More At Elderwood, we believe in supporting the people who support our residents. Our benefits and rewards include: Increased Tuition Reimbursement Program for Clinical Tracks Shift Differentials Full Benefits Package 401(k) with Employer Matching Employee Referral Program Professional Development & Training Opportunities Paid Time Off & Holiday Benefits Additional Compensation Programs Make Your Next Move Count If you're an RN who enjoys looking at the bigger picture, solving problems, coordinating across disciplines, and using clinical expertise to influence the quality of resident care, West Roxbury Health & Rehabilitation Center wants to hear from you. Bring your nursing knowledge. Bring your attention to detail. Bring your commitment to residents. We'll provide the team, resources, and support to help you make an impact. Apply Today for the RN – MDS Coordinator Position at West Roxbury Health & Rehabilitation Center. Responsibilities What You'll Do Lead the MDS & Resident Assessment Process Complete and/or oversee completion of MDS/PPS and OBRA assessments for residents receiving short-term rehabilitation and long-term care. Establish and maintain schedules for required assessments in accordance with federal and state regulations. Ensure MDS assessments, supporting documentation, and related components are accurate, complete, and submitted within required timeframes. Monitor completion of MDS components by other disciplines and address incomplete or untimely information. Review resident records, incidents, accidents, 24-hour reports, and changes in condition to ensure assessments and care plans accurately reflect current needs. Utilize clinical judgment and attention to detail to identify relevant changes in resident status. Develop & Coordinate Individualized Care Plans Initiate, maintain, and update individualized care plans based on resident assessments and changing clinical needs. Ensure care plans identify appropriate interventions and supporting activities designed to achieve the best possible resident outcomes. Conduct care plan conferences with residents, families, and members of the interdisciplinary team. Generate and distribute the monthly care plan calendar. Collaborate closely with nursing, rehabilitation, social services, dietary, medical records, and medical providers. Serve as a clinical resource to members of the care team regarding assessment and care planning requirements. Support Medicare, Medicaid & Reimbursement Complete and/or oversee Medicare PPS assessments for both short-term and long-term care residents. Support accurate documentation related to Medicare, Medicaid, Managed Care, and other reimbursement requirements. Partner with the Business Office to support Medicare eligibility determination and tracking of covered days. Serve as a facility contact and liaison with Managed Care providers regarding authorization and reimbursement. Apply knowledge of PDPM, Case Mix, Medicare/PPS, and reimbursement methodology to support accurate and compliant processes. Collaborate with Medical Records and Therapy staff in preparing documentation for CMS and other entities for pre- and post-payment reviews, ADR requests, and appeals. Promote Compliance, Quality & Accountability Maintain working knowledge of applicable federal and state regulations related to MDS, care planning, Medicare, Medicaid, and resident care. Help ensure documentation and assessment practices remain compliant with regulatory requirements. Identify gaps or delays in the assessment process and communicate concerns to nursing leadership. Support survey readiness and respond appropriately to documentation and assessment-related requests. Maintain knowledge of facility policies, procedures, corporate compliance standards, and professional nursing expectations. Participate in ongoing quality improvement initiatives and other projects as assigned. From Up to Qualifications RN - MDS Coordinator - Qualifications: Current Registered Nurse (RN) license in the state of Massachusetts. Nursing degree from an accredited college or university. Previous experience in a skilled nursing or long-term care environment preferred. Knowledge of the MDS and care planning process. Prior experience with MDS 3.0 scheduling, coding, and submission requirements preferred. Experience with PointClickCare preferred. Knowledge of Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred. Experience with Medicare/PPS, Medicaid, Managed Care, Part A coverage, and reimbursement processes preferred. Strong understanding of resident assessment, care planning, and regulatory requirements. Excellent verbal and written communication skills. Strong organizational and time-management skills with the ability to manage multiple deadlines. Self-motivated, detail-oriented, and committed to accuracy. Ability to collaborate effectively with residents, families, nursing staff, interdisciplinary team members, leadership, and external partners. A willingness to learn and develop — we're open to training the right candidate with strong clinical experience and the ability to grow into the MDS role. This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. 
$140,000 - $195,000 / year
Director of Care – Skilled Nursing Operations Location: Connecticut / Massachusetts Employment Type: Full-time Travel: Multi-site; regular travel across assigned facilities About the Role We are seeking an experienced Director of Care to provide clinical leadership and oversight across a portfolio of approximately 10 skilled nursing facilities (SNFs) throughout Connecticut and Massachusetts . This is a hands-on, multi-site clinical leadership position for a registered nurse (RN) or experienced nursing leader who understands skilled nursing operations and knows how to drive consistent standards of care across multiple facilities. The Director of Care will partner closely with facility leadership, Directors of Nursing, and regional operations to improve clinical outcomes, regulatory compliance, quality, staffing practices, and resident care. Key Responsibilities Provide clinical oversight and leadership across multiple skilled nursing facilities. Partner with Directors of Nursing (DONs), Administrators, and facility leadership to establish and maintain high standards of resident care. Conduct regular facility visits, clinical assessments, and operational reviews. Monitor key clinical metrics, including quality measures, rehospitalizations, falls, infections, wounds, medication management, and other resident outcomes . Identify clinical risks and develop actionable plans to address performance gaps. Support facilities with state surveys, CMS requirements, regulatory compliance, and plans of correction . Evaluate nursing practices, documentation, care planning, and clinical processes. Coach and mentor DONs and nursing leadership to strengthen clinical performance and accountability. Promote consistent policies, procedures, and best practices across the organization. Collaborate with operations and facility leadership on staffing, retention, education, and clinical workforce development . Assist with implementation of quality improvement initiatives and QAPI programs. Analyze clinical data and trends and translate findings into practical improvement plans. Serve as a clinical resource for facilities experiencing complex resident care or operational challenges. Help develop and implement standardized clinical programs across the organization. Travel regularly between facilities throughout Connecticut and Massachusetts . Qualifications Current RN license in good standing; multi-state licensure is a plus. Bachelor's degree in Nursing ( BSN ) preferred. Significant clinical leadership experience in skilled nursing / long-term care . Proven experience overseeing multiple SNFs or nursing facilities . Prior experience as a Director of Nursing (DON), Regional Director of Nursing, Clinical Director, Regional Nurse, or similar leadership role strongly preferred. Strong understanding of CMS, state regulatory requirements, survey readiness, and skilled nursing clinical standards . Demonstrated experience improving clinical outcomes and holding facility leadership accountable. Strong knowledge of QAPI, MDS, care planning, infection prevention, quality measures, and risk management . Excellent communication, leadership, organizational, and problem-solving skills. Comfortable working independently and traveling between facilities on a regular basis. Strong ability to build relationships while maintaining high clinical and operational standards. What We're Looking For The ideal candidate is a clinical nurse leader—not simply a corporate administrator —who has successfully led nursing operations across multiple skilled nursing facilities. You should be comfortable walking into a facility, quickly understanding its clinical challenges, working alongside the DON and Administrator, and developing a practical plan to improve care and outcomes. Experience managing or supporting multiple SNFs across a geographic region is highly preferred . Why Join Us Regional leadership role with meaningful influence across multiple facilities. Opportunity to shape clinical standards and quality across an established SNF organization. Collaborative partnership with facility and operational leadership. Significant opportunity to improve resident outcomes and develop nursing leaders. Competitive compensation and benefits package. Keywords: Director of Nursing, DON, Regional Director of Nursing, Regional Nurse, Clinical Director, Director of Care, Skilled Nursing, SNF, Long-Term Care, Nursing Home, RN, BSN, Multi-Site Nursing, Multi-Facility, Clinical Operations, Quality Improvement, QAPI, CMS, MDS, Survey Readiness, Infection Prevention, Healthcare Operations. 
