Community Health Nurse

4 weeks ago


New York, United States Tandym Group Full time

A health services network in New York City is currently seeking a licensed Registered Nurse (RN) to join their team in the Queens as a Community Health Nurse. In this role, the Community Health Nurse (RN) will be responsible for directly guiding a prospective participant through the clinical onboarding process leading to enrollment within the network.


Responsibilities:

The Community Health Nurse (RN) will:

  • Educate prospective participants on plan benefits, services, and care delivery model
  • Assist with administrative functions of the program, including but not limited to, following up on referrals and appointments, as well as tracking and reporting of daily activities
  • Work closely with the intake operational team regarding in-home or virtual assessment appointments with prospective participants
  • Conduct the pre-enrollment UAS and determines the eligibility of the prospective participant
  • Work with the Quality Review team to ensure the accuracy and completeness of all necessary documentation
  • Develop the Service plan and obtain enrollment agreement documentation during a home visit or other setting agreed upon with the prospect
  • Advise on operational process improvements that may positively impact enrollment turnaround, scheduling logistics, expense/financial-related efficiencies, engagement strategies, reporting, and other critical touchpoints
  • Document all interactions and outcomes in the designated clinical management / electronic record system
  • Regularly review key performance metrics and analytics to improve process flows and/or quality of work
  • Support new staff with onboarding to ensure supportive, collaborative, and efficient transition of new staff to the Clinical Intake Team
  • Perform other tasks, as required

Qualifications:

  • Prior experience in MLTC, LTTHCP, and/or Managed Care program
  • Graduate of an accredited School of Nursing
  • NYS Registered Nurse (RN) license
  • Solid assessment, clinical, and documentation skills
  • Patient oriented
  • Great interpersonal skills
  • Excellent communication skills (written and verbal)
  • Strong attention to detail
  • Highly organized

Desired Skills:

  • Bilingual
  • Experience working with the Geriatric population


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