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
