Geriatric Nurse Specialist (LPN​/RN) – Primary Care & Care Coordination

Boston, United States | Posted on 07/06/2026

Make a Meaningful Difference in the Lives of Older Adults

The Staff Pad has partnered with a highly respected,physician-led healthcare organization that is transforming the way primary careis delivered to older adults across Massachusetts and New Hampshire.

We are seeking a compassionate, experienced, and patient-focused Geriatric Nurse Specialist (LPN or RN) who is passionate about improving the health, independence, and quality of life of seniors. This is a unique opportunity to work alongside an interdisciplinary team dedicated to deliveringpersonalized, value-based care to Medicare beneficiaries across a variety ofcare settings.

If you enjoy building lasting relationships with patients, coordinating comprehensive care, and making a measurable impact onyour community, we'd love to hear from you.

Schedule:

Full-Time

About the Role

As a Geriatric Nurse Specialist, you'll play a vitalrole in supporting approximately 1,600 Medicare patients, including many older adults with complex medical and social needs. Nearly one-third of our patients are dual-eligible for Medicare and Medicaid, requiring thoughtful care coordination and advocacy.

You'll provide care and support across multiple settings, including:

• Independent senior living communities
• Assisted living communities
• Skilled nursing facilities

Working closely with physicians, advanced practice providers, caregivers, and community partners, you'll help ensure every patientreceives exceptional, coordinated, person-centered care.

What You'll Do

Clinical Care & Preventive Services

• Prepare for and support Medicare Annual Wellness Visits by reviewing patientcharts, identifying preventive care gaps, completing required screeningassessments, and ensuring accurate Medicare documentation
• Coordinate patient follow-up care by arranging recommended preventive services,referrals, and ongoing care based on screening and wellness visit findings
• Improvequality outcomes through preventive care initiatives
• Coordinatebreast and colorectal cancer screenings
• Promote and track age-appropriate immunizations, including influenza, COVID-19,pneumococcal, shingles, RSV, and other recommended vaccines
• Conducthealthy aging assessments, including osteoporosis, cognitive impairment,dementia, fall risk, functional mobility, and home safety evaluations
• Provide patient education and support for cardiovascular risk reduction and advance care planning
• Conduct comprehensive geriatric assessments evaluating functional status,ADLs/IADLs, cognitive health, mood, mobility, nutrition, medication safety, caregiver support, and social determinants of health
• Develop individualized care recommendations and collaborate with the interdisciplinary team to guide patient care plans
• Facilitateadvance care planning discussions with patients and families, includingeducation on Advance Directives, Healthcare Proxies, and MOLST/POLSTdocumentation
• Collaborate with providers on goals-of-care conversations and ensure accurate,complete documentation in the medical record
• Perform comprehensive medication reconciliation during Annual Wellness Visits,home and facility visits, transitional care, and follow-up appointments,identifying discrepancies and potential drug interactions
• Educate patients and caregivers on medication purpose, administration, side effects, adherence, and safe use of high-risk medications commonlyprescribed to older adults

Care Coordination & Community-Based Care

• Provide ongoing care coordination for high-risk older adults, including recentlydischarged patients, individuals with multiple chronic conditions, frailseniors, dual-eligible Medicare/Medicaid beneficiaries, and patients with dementia, cognitive impairment, or frequent hospitalizations
• Collaborate with physicians, specialists, home health agencies, rehabilitation providers, hospitals, caregivers, and community organizations to ensure seamless transitions of care and improved patient outcomes
• Conduct home visits for homebound, recently hospitalized, medically complex, and functionally limited patients
• Assesshome safety, mobility, functional status, medications, caregiver…