ID: 52178651 Shift: Unknown Description: Licensure-Current RN Licensure in New York StateRequired Experience-Two (2) years of experience in a HOME setting within the last fifteen(15) years.At a minimum, nurses must have recent experience conducting comprehensive assessments of patientsRevised: Maximus NYIAP Job Description (Revised 4/16/24)**NOW RECRUITING ******Please indicate which class start your submitting your candidate for on the resume or attestation******All candidates being submitted must be under the impression they will be conducting hybrid Tele and in-field assessments***Candidates can't do UAS assessment assignments elsewhereand need to sign the COI form before start.*** Supplier Checklist: Must submit Resume, Nursys Verification, NY License # and BLS (If not, BLS is required before the start date)JOB SUMMARYAbility to review health status questions and make evaluations and determinations based on UAS criteria for enrollment; ability to work with technology in the workplace;knowledge of the theory, principles, and practices of general professional nursing; knowledge of state and agency laws and regulations governing general professional nursing practices; excellent organizational, interpersonal, written, and verbal communication skills; ability to communicate and work effectively with multi-generational consumers; ability to demonstrate sensitivity to the concerns of others; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; and a strong ability to work independently.JOB RESPONSIBILITIES

Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
Review consumer medical documentation and or health referral forms, as relevant to the case
Enter evaluation data into electronic evaluation form and transmit, as required
Document any concerns, conflicting information, other issues that surface during the evaluation process
Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
Discuss with consumer on health care options, supports needed, service vendor options and waiver options
Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery
Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM
Identify opportunities for health promotion and illness prevention
Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
Performs other duties as may be assigned by the Regional Nurse Manager or other project management.General CommentsAll candidates being submitted must be under the impression they will be conducting in-field assessmentsCandidates must provide all required information such as : Alias s used, current and previous address s, current phone numbers/e-mails, etc.. General Comments No. of Positions: 1/
Guaranteed Hours: Contract

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