Assessment Nurse - RN Job at Mitchell Martin, New York, NY

eDJYQUJxWXlxYkVSRVgzLzB1ZlhMT29NMVE9PQ==
  • Mitchell Martin
  • New York, NY

Job Description

A reputable NYC Insurance Plan with a network that includes over 27,000 primary care providers, specialists and participating clinics, has an immediate need for an Assessment Nurse. The Assessment Nurse conducts the UAS assessment to determine the level of care needed to support Assessment Nurse—RN

Type: HC Full-Time

Schedule: 3 days remote and 2 days in field in Brooklyn

Location: New York, NY

Summary:

The Assessment Nurse completes the UAS assessment tool and makes the determination if an applicant is appropriate for the facility MLTC program.

The Assessment Nurse also completes the UAS assessment tool on members already enrolled in the MLTC programs upon program enrollment, semi-annually and when there is a significant change in condition.

Job Description

* Meets with applicant, family and caregiver to determine if MLTC program applicants meet the clinical qualifications for enrollment. (i.e., UAS score 5 or greater, needing 120 days of care, safe in-home environment).

* Meets with member, family and caregiver to conduct the UAS tool for MLTC program enrollees

* Conducts a minimum of 13 UAS assessments on a weekly basis which may include, initials, significant change in condition, return assessments and/or semi-annual/re- assessments. Conducts "pop up/drive-by” visits for members/applicants who are unable to reach via phone or family member; these visits are scheduled around the expected minimum UAS assessment per week and will not change the completion rate expectations.

* Scores the Attendant Care worker tasking tool and shares potential hours and daycare services with applicant and famil

* Discusses other options for applicants that do not meet the clinical qualifications for the MLTCP. Reviews handbook and enrollment documents with applicants who meet the criteria for enrollment in the MLTCP. Responds to questions and obtains signature on all necessary documents.

* Reviews findings of assessments and interviews with applicant and family with Care Manager.

* Conducts reassessments of member pursuant to schedule and in cases when Care Manager request re-assessment due to change in condition of the member.

* Participates in client quality management activities related to MLTC as needed. Provides information to the MLTC management teams

* Performs other tasks assigned by the MLTC management teams

Minimum Qualifications

* Bachelor's Degree required

* A minimum of two (2) to three (3) years clinical experience in Certified Home Health Agency (CHHA), Lombardi program and MLTC experience.

Licensure and/or Certification Required:

* Registered Nurse, Currently New York State license.

* UAS Certified RN required.

Professional Competencies:

* Integrity and Trust

* Customer Service Focus

* Basic working knowledge of computer systems.

* Excellent communications, written and analytical skills

Please email: (url removed)

#LI-SF1

Job Tags

Permanent employment, Full time, Immediate start, Remote job,

Similar Jobs

Platinum Staffing

Mechanical Engineer Job at Platinum Staffing

 ...Job Description Job Description Electrical Engineer Location: Maple Grove, MN 55311 Wage: $30+ per hour (DOE) Shift: 8...  ...Associate Degree or equivalent (Bachelors preferred). ~ Experience: 2-3 years in electrical fields (5 years preferred). Skills... 

APN Consulting

Registered Nurse/Case Manager Job at APN Consulting

 ...submitted upfront 2 years of Acute care CM experience - can consider travelers with 1.5 yearsExperience with Utilization Review and Discharge...  ...in 1 week : 1.3% Double Time Multiplier: None Charge Nurse: *** On Call: *** Call Back: 1.3% Holiday: 1.3%... 

Aruze Gaming Global, Inc

Director of Global Procurement Job at Aruze Gaming Global, Inc

 ...Empire Technological Group DBA Aruze gaming Global is looking to add a Director of Global Procurement to our team! Las Vegas Responsibilities: Develop and execute the company's strategic sourcing plan to meet business goals. Lead the sourcing... 

The Slaton Agency

WORK FROM HOME - SALES Job at The Slaton Agency

 ...The Slaton Agency is looking for motivated individuals to join their team to help families protect their homes. Reps will work with warm leads and have access to over 30 insurance carriers. Benefits include swift advancement, commission daily pay, and flexible scheduling... 

Ideagen

Site Reliability Engineer Job at Ideagen

 ...during incidents that may impact service. Work to improve the reliability, quality, performance, and scalability of our infrastructure....  ...measure and optimise system performance. Enable the engineering organization to innovate and deliver with greater speed and safety...