Travel Nurse RN
3 weeks ago
**Job Specialty:** Home Health
**Job Duration:** 260 days
**Shift:** Day - 5x8 - 09:00 AM - 05:00 PM - 40 Hours per week
**Guaranteed Hours:** N/A
**Experience:** Two (2) years of experience in a home setting within the last ten (10) years
**License:** Current RN Licensure in New York State
**Certifications:** BLS required before the start date
**Must-Have:**
- Recent experience conducting comprehensive assessments of patients
- Experience in a Certified Home Health Agency, Licensed Home Care Service Agency, or Managed Long-Term Care setting
- Experience conducting assessments that are similar to the UAS, such as OASIS
- Ability to care for a minimum of two patients per week
**Job Description:**
- Perform initial in-home pre-evaluation of patients, including evaluation of health status, strengths, care needs, and preferences
- Guide the development of individualized long-term care service plans
- Review consumer medical documentation and health referral forms as relevant to the case
- Enter evaluation data into electronic evaluation forms and transmit as required
- Document any concerns, conflicting information, or other issues arising during the evaluation process
- Emphasize continuity of care to reduce or eliminate fragmentation, duplication, and gaps in treatment plans
- Discuss health care options, needed supports, service vendor options, and waiver options with the consumer
- Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
- Enhance communication and collaboration with interdisciplinary care team members to improve care coordination and facilitate service delivery
- Collect quality review data and 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 the target population
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template
- Perform other duties as assigned by the Regional Nurse Manager or other project management
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