RN Assessor
The RN Assessor will determine eligibility for applicants in the community for enrollment in our Managed Long Term Care program.
Key
Responsibilities:
Conducts in-person or other DOH approved modality visit(s) to educate applicant, family and/or applicant's caregiver(s) on program benefits and design.
In conjunction with the PCP, member and informal support systems, completes a comprehensive assessment within the consumer's home environment utilizing expert knowledge of the UAS instrument and clinical expertise to evaluate the member's need for services and technical eligibility.
Manages an expected mean of 25 - 35 enrollment referrals monthly.
Participates in training and guidance to new staff regarding policy & procedure(s), systemic tools, workload and overall functionality of this role within the interdisciplinary care team.
Interacts with the consumer, family and informal support systems utilizing expertise of the UAS instrument and clinical knowledge to determine technical eligibility, medical history, current status and the identification of consumer's needs.
Utilizes designated criteria along with clinical knowledge and expertise to develop personalized plan of care.
Negotiates appropriate care plan based on health assessments with health care providers, member and caregiver.
Inputs visit and assessment data into the electronic health record timely (Tru Chart).
May be requested to participate in quality initiatives and chart audits.
Maintains regular communication with Enrollment Coordinators; Care Managers assigned; Care Coordinator and/or Director of Clinical Operations regarding status of the Members or concerns with meeting the technical eligibility within their prescribed caseload.
Benefits:
Steady, consistent day shift schedule19 days of PTO to start
paid holidaysCompany paid Health Insurance, Long-Term Disability& Basic Life Insurance - on date of hireCompany pension after 1 year of serviceQualifications/Requirements:
Licenses/Certifications:
Current NYS RN licenseEducation:
Associate's Degree in nursing required
Experience:
Current NY State RN licensure2
year's clinical experience, preferably in insurance field, home health or public health.
Experience and knowledge with electronic health record software preferred.
Preferred Skills:
One year UAS experienceDemonstrates effective communication methods to assist in training and to relate effectively to upper managementAssists in evaluating process improvementsAbility to work independently, handle multiple assignments and prioritize workloadDemonstrates high level time management and priority settingStrong oral and written communication skillsAbility to create, review and interpret treatment plansDemonstrates negotiation skillsDemonstrates collegiality and teamwork and fosters same within their team.
Able to effectively demonstrate critical thinking skills.
Bilingual skills a plusWork EnvironmentThis job operates in the field with frequent travel to various counties and environments.
This role routinely uses standard office equipment such as but not limited to computers, phones, photocopiers, document scanners, filing cabinets and fax machines.
Position Type/Expected Hours of WorkThis is a full-time hybrid position, and hours of work and days are Monday through Friday, with hours that may vary based upon operational and staff demands.
Occasional evening, weekend and holiday work may be required.
TravelThis position requires frequent travel as an essential function to include home visits, off-site meetings or functions that may occur.
Majority of visits are in Niagara and Erie Counties, but availability to travel all 6 counties is required as necessary.
Salary:
$75,000.
00 - $85,000.
00 per yearEOE Recommended Skills Electronic Medical Record Nursing Cardiopulmonary Resuscitation Life Support Automated External Defibrillator Basic First Aid Estimated Salary: $20 to $28 per hour based on qualifications.
Key
Responsibilities:
Conducts in-person or other DOH approved modality visit(s) to educate applicant, family and/or applicant's caregiver(s) on program benefits and design.
In conjunction with the PCP, member and informal support systems, completes a comprehensive assessment within the consumer's home environment utilizing expert knowledge of the UAS instrument and clinical expertise to evaluate the member's need for services and technical eligibility.
Manages an expected mean of 25 - 35 enrollment referrals monthly.
Participates in training and guidance to new staff regarding policy & procedure(s), systemic tools, workload and overall functionality of this role within the interdisciplinary care team.
Interacts with the consumer, family and informal support systems utilizing expertise of the UAS instrument and clinical knowledge to determine technical eligibility, medical history, current status and the identification of consumer's needs.
Utilizes designated criteria along with clinical knowledge and expertise to develop personalized plan of care.
Negotiates appropriate care plan based on health assessments with health care providers, member and caregiver.
Inputs visit and assessment data into the electronic health record timely (Tru Chart).
May be requested to participate in quality initiatives and chart audits.
Maintains regular communication with Enrollment Coordinators; Care Managers assigned; Care Coordinator and/or Director of Clinical Operations regarding status of the Members or concerns with meeting the technical eligibility within their prescribed caseload.
Benefits:
Steady, consistent day shift schedule19 days of PTO to start
paid holidaysCompany paid Health Insurance, Long-Term Disability& Basic Life Insurance - on date of hireCompany pension after 1 year of serviceQualifications/Requirements:
Licenses/Certifications:
Current NYS RN licenseEducation:
Associate's Degree in nursing required
Experience:
Current NY State RN licensure2
year's clinical experience, preferably in insurance field, home health or public health.
Experience and knowledge with electronic health record software preferred.
Preferred Skills:
One year UAS experienceDemonstrates effective communication methods to assist in training and to relate effectively to upper managementAssists in evaluating process improvementsAbility to work independently, handle multiple assignments and prioritize workloadDemonstrates high level time management and priority settingStrong oral and written communication skillsAbility to create, review and interpret treatment plansDemonstrates negotiation skillsDemonstrates collegiality and teamwork and fosters same within their team.
Able to effectively demonstrate critical thinking skills.
Bilingual skills a plusWork EnvironmentThis job operates in the field with frequent travel to various counties and environments.
This role routinely uses standard office equipment such as but not limited to computers, phones, photocopiers, document scanners, filing cabinets and fax machines.
Position Type/Expected Hours of WorkThis is a full-time hybrid position, and hours of work and days are Monday through Friday, with hours that may vary based upon operational and staff demands.
Occasional evening, weekend and holiday work may be required.
TravelThis position requires frequent travel as an essential function to include home visits, off-site meetings or functions that may occur.
Majority of visits are in Niagara and Erie Counties, but availability to travel all 6 counties is required as necessary.
Salary:
$75,000.
00 - $85,000.
00 per yearEOE Recommended Skills Electronic Medical Record Nursing Cardiopulmonary Resuscitation Life Support Automated External Defibrillator Basic First Aid Estimated Salary: $20 to $28 per hour based on qualifications.
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