Boston Senior Home Care
  • Boston, MA, USA
  • Full Time

Job Title:                    Adult Foster Care Registered Nurse

Business Unit:            MassHealth

Department:               Adult Foster Care

Reports To:                Program Manager

Classification:            Exempt - Full-time (35 Hours)

Grade:                         11

Salary Range:             65,000 (commensurate with experience)


Job Description



AFC Registered Nurse functions as an integral part of an interdisciplinary case management team and participates in risk assessment and service planning for new and ongoing clients. The Registered Nurse (RN) functions as a health care provider, educator, consultant, and nurse case manager in the support of client care. The nurse trouble shoots problems and crises, anticipates complications and helps to prevent their development; and views the client and family within the context of a whole system.


Essential Functions

Essential Job functions: Duties __1_____ through ___11____are designated as ADA Essential Functions and must be performed in this job.  All other job duties are secondary functions.


  1. The Registered Nurse works with, Program Manager, RN Clinical Nurse, and Case Managers, to carry out the day-to-day responsibilities of managing Adult Foster Care members. Conducts on sight assessments, assesses the mental, physical and medical needs of clients, performs risk assessments, and ensures that identified needs are encompassed in the overall client care plan. Develops or implements individualized multidisciplinary care plans for new and ongoing BSHC Adult Foster Care clients with the input of the Case Manager.
  2. Performs interdisciplinary reviews, and makes recommendations related to behavioral needs, medical needs and special programs that are regarded as required elements of the individualized multidisciplinary care plan that must be completed by RN's and case managers for Adult Foster Care clients..
  3. Participates in the case management peer review of client records and provides consultation, direction and feedback to Program Manager and case managers regarding mental health, behavioral issues, medical issues, nursing issues, insurance reimbursement and community resources. Ensures that medical and clinical care needs are identified and formally included in the case management plan for a client.
  4. Collaborates with Program Manager, case managers and nurses to promote cost effective service plans, and to determine need and eligibility for special programs funded by EOEA, Mass Health, and/or other community resources.  
  5. Performs clinical assessments to screen potential adult foster care clients in the BSHC and outlining areas for programs and services funded by EOEA, Mass Health and other community resources.
  6. Participates in the evaluation of potential consumers and recommends appropriateness for special programs including Adult Foster Care, Group Adult Foster Care, ECOP and Choices.
  7. Provides technical assistance (theoretical and clinical expertise) and training in the screening process to hospitals, certified home health agencies, nursing facilities, ADH and PACE programs.
  8. Participates in and as needed develops and implements in service training programs, provide technical (theoretical and clinical expertise) on mental health, behavioral and medical issues for all level of agency staff.
  9. Maintains collaborative relationships with agencies and institutions that serve or interface with BSHC clients and or staff.
  10. Provides consultation to staff, management, administration and other disciplines related to his/her area of expertise.
  11. Provides input, direction and expertise in the development of agency programs related to their area of expertise.


  • Knowledge of Psychiatric, Mental Health and Geriatric Nursing.
  • Knowledge of the home care system and community resources
  • Ability to communicate effectively and work well with others
  • High level of computer skills and knowledge


Supervisory Responsibility

This position has no supervisory responsibilities.


Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee must be able to carry a15 to 20 pound load. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.


Position Type/Expected Hours of Work

This is a full-time 35 hour per week position (7 hours per day Monday through Friday).



Must be able to travel to the community to perform visits at consumers home (may have limited accessibility), and travel under all weather conditions.


Required Education and Experience

  • Graduate from a school of nursing accredited by the National League for Nursing (B.S. preferred)
  • A valid Registered Nurse's license from the Commonwealth of Massachusetts
  • The registered nurse must have at least two years' recent experience in the direct care of the elderly or disabled adults


Preferred Education and Experience

  • Minimum five years clinical experience


Additional Eligibility Qualifications

None required for this position.


Work Authorization/Security Clearance

Must clear CORI background check


AAP/EEO Statement:

Equal Employment Opportunity/Affirmative Action/Male/Female/Veteran/Disabled

BSHC affirms and supports diversity and inclusion in our workforce.


Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.



Boston Senior Home Care
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