Uas Assessment Nurse, Ltss

3 weeks ago

New York, United States ConnectiCare Full time

Summary of Job:
Assess eligibility of members in need of community based long term support services (CBLTSS). Conduct UAS assessment in the members home or by telehealth (under NY State’s regulations), and at skilled nursing facilities. Consult with health care providers to support assessment outcomes. Conduct needs assessment utilizing the UAS-NY/DOH tool to determine members’ qualification for Long Term Care services. Complete the Community Health Assessment (CHA) Variance Resolution process (clinical disputes).

**Responsibilities**:

- Conduct quality assurance review of completed UAS assessments in UAS-NY database for EmblemHealth members.
- Comply with NY State DOH guidelines on completion and timely finalization of all UAS assessments.
- Collaborate with member, caregiver, Maximus, and the plan to ensure three-way calls are completed for initial and expedited assessments.
- Submit completed assessments timely to EmblemHealth, completing member correspondence with quality and efficiency.
- Maintain knowledge of all applicable NYSDOH/CMS guidelines and relevant organizational and departmental policies and procedures.
- Escalate questions or concerns during the program assessment and enrollment process to the leadership team and or NYIA to ensure proper completion of UAS-NY and handling of issues that may require intervention.
- Support an integrated care model tapping into appropriate resources both internally and external to the organization.
- Enter and maintain documentation in the Electronic Medical Records System (EMR), meeting defined timeframes and performance standards.
- Maintain an understanding of Care Management principles, program objectives and design, implementation, management, monitoring, and reporting.
- Actively participate on assigned committees and meetings to support LTSS program functions.
- Attend and complete all department-mandated training as well as satisfy educational in-service requirements.
- Perform other related projects and duties as assigned.
- Act as the member’s advocate and liaison by completing or facilitating interventions with providers and/or private, non-profit, and governmental agencies.

Qualifications:

- Associate or Baccalaureate degree in nursing
- Active New York State Registered Nursing (RN) license in good standing
- UAS-NY certification
- One year experience in MLTC, LTSS or home care (preferred)
- 4 - 6+ years of relevant, professional nursing experience (required)
- Experience with NYSDOH Medicaid program requirements and benefits under Long Term Care Proficiency in utilizing and analyzing UAS-NY assessments and assessment outcomes (required)
- Organization/prioritization ability; and the ability to effectively manage a caseload of highly complex members (required)
- Experience with Long-term Services and Supports (LTSS), Managed Long Term Care (MLTC) (required)
- Strong communication skills (verbal, written, presentation, interpersonal) (required)
- Computer proficiency: MS Office (Word, Excel, Outlook, TEAMS); mobile technology (wireless phone/laptop, etc.) (required)
- System user experience in a highly automated environment (required)
- Strong cross-group collaboration, teamwork, problem solving, and decision-making skills (required)
- Ability to work a flexible schedule (evenings, weekends, and holidays) to meet member and/or caregiver and departmental scheduling needs (required)
- Ability to conduct field-based and telehealth assessments (50% in field, 50% telephonic) (required)
- Ability to complete 2-3 assessments per day (required)

Additional Information
- Job Type: Standard
- Schedule: Full-time
- Employee Status: Regular
- Requisition ID: 1000001770
- Hiring Range: $63,000-$110,000

  • UAS Assessment Nurse

    5 days ago

    New York, United States RCM Health Care Services Full time

    Job DescriptionJob DescriptionUAS Assessment Nurse (RN)$85k - $105k + $15,000 Sign on Bonus!Various territories available including:Staten Island, Queens, Manhattan, Brooklyn, Bronx, Westchester, Rockland, Duchess, Orange, Putnam, and Ulster counties.Health Plan rewards full time Assessment Nurses with a higher reimbursement rate when conducting extra...

  • UAS Assessment RN

    3 days ago

    New York, United States Medix™ Full time

    Job Posting: UAS Assessment Nurse (Bronx, NY)Position: UAS Assessment NurseLocation: Bronx, NYSchedule: Hybrid schedules available: ( can chose how many field days)1 day remote, 4 days field2 days remote, 3 days field3 days remote, 2 days field4 days remote, 1 day fieldHours: 8:30am - 5:30pm, Monday - Friday (40-hour work week)Overview:Join our team as a UAS...

  • Registered Nurse

    1 week ago

    New York, United States Greater New York Nursing Services Full time

    Job DescriptionJob DescriptionSalary: $100-$160 per assessmentRegistered Nurse - UAS AssessorPer Diem, In Person ***THIS POSITION REQUIRES ONSITE ASSESSMENTS***Pay Range: Competitive rates based on experience/contract assessmentShifts: Days, Nights, and WeekendsMission StatementGreater Careers is dedicated to our candidates and clients alike. Our mission is...

  • Registered Nurse

    1 month ago

    New York, United States Greater New York Nursing Services Full time

    Job DescriptionJob DescriptionSalary: $100-$160 per assessmentRegistered Nurse - UAS AssessorPer Diem, In Person Pay Range: Competitive rates based on experience/contract assessmentShifts: Days, Nights, and WeekendsMission StatementGreater Careers is dedicated to our candidates and clients alike. Our mission is to ensure that we source and recruit...

  • Uas-ny Assessment Rn/per Diem/ In-person Visit

    4 days ago

    New York, United States ACCO Full time

    **Qualifications**: - Associates Degree or above in nursing - Active NYS Licensed Registered Nurse. - Valid NYS Identification - Demonstrated and literate computer skills - Active CPR certification - Excellent verbal and written communication skills - UAS experience required **Key Responsibilities**: - Conduct initial and re-assessments for patients or...

  • We Will Train Rn to do Uas Assessments, Hybrid

    1 month ago

    New York, United States NEW YORK HOME HEALTH CARE Full time

    **Home Care Meets Flexibility: RN UAS Assessor (New York, NY)** **Do you thrive in home care and want a schedule with work-from-home options? We're seeking a compassionate RN to join our team as a UAS Assessor!** This hybrid role offers 2 days working from home and 3 days visiting patients in the Bronx, Manhattan, and Brooklyn, Queens areas. **Make a...

  • We Will Train Rn to do Uas Assessments, Hybrid

    1 month ago

    New York, United States New York Home Care Full time

    **Home Care Meets Flexibility: RN UAS Assessor (New York, NY)** **Do you thrive in home care and want a schedule with work-from-home options? We're seeking a compassionate RN to join our team as a UAS Assessor!** This hybrid role offers 2 days working from home and 3 days visiting patients in the Bronx, Manhattan, and Brooklyn, Queens areas. **Make a...

  • Manager of Long-Term Services and Supports

    2 weeks ago

    New York, United States NYC Health Hospitals Full time

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned...

  • UAS Clinical Assessor

    5 days ago

    New York, United States ABOTTS Consulting Inc Full time

    Job DescriptionJob DescriptionPosition: UAS RNLocation: HybridDuration: Long TermShift Timing: 8.30 AM to 5 PMHours: 8.5 Hours Pay Rate: 55 $ per hour on w2 basis. POSITION SUMMARY:Daily responsibilities will be conducting UAS Assessments to support care management. Candidates will be assigned a minimum of 13-15 cases per week or 3 per day. Cases will have...

  • Home Health Visit Nurse

    1 week ago

    New York, United States Soloh Partners Inc Full time

    Position: Home Health Visit Nurse (RN) Locations: Brooklyn, Bronx or Queens Schedule: Monday - Frida y 9am - 5pm Visits Required: Minimum of 5 Visits per day Hourly Rate: $75 Summary: The RN will provide in-home health services to geriatric and recently hospital-discharged patients. RN assigned to the borough of their choice. (NOT UAS) ...

  • Home Health Visit Nurse

    1 month ago

    New York, United States Soloh Partners Inc Full time

    Position: Home Health Visit Nurse (RN) Locations: Brooklyn, Bronx or Queens Schedule: Monday - Frida y 9am - 5pm Visits Required: Minimum of 5 Visits per day Hourly Rate: $75 Summary: The RN will provide in-home health services to geriatric and recently hospital-discharged patients. RN assigned to the borough of their choice. (NOT UAS) ...

  • Manager of Long-Term Services and Supports

    4 weeks ago

    New York, United States MetroPlusHealth Full time

    Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

  • Virtual Assessment Nurse, New York

    2 days ago

    New York, United States Healthfirst Full time

    **Duties/Responsibilities**: - Conducts telephonic and virtual home assessments for prospective members and re-assessments of current members using the Uniform Assessment System (UAS) or other relevant department approved assessment tool; makes enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills....

  • Manager of Long Term Services and Supports

    3 weeks ago

    New York, United States RCM Health Care Services Full time

    Job DescriptionJob DescriptionFor more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list...

  • Remote Assessment Nurse

    2 weeks ago

    New York, United States 4 Corner Resources Full time

    We are seeking a dedicated and experienced Virtual Assessment Nurse to join our team. In this remote role, you will conduct virtual assessments for members residing in downstate New York, including the five boroughs, Nassau, Suffolk, Rockland, Orange, Sullivan County, Long Island, and Westchester.You will ensure compliance with Department of Health (DOH)...

  • Remote Assessment Nurse

    2 weeks ago

    New York, NY, United States 4 Corner Resources Full time

    We are seeking a dedicated and experienced Virtual Assessment Nurse to join our team. In this remote role, you will conduct virtual assessments for members residing in downstate New York, including the five boroughs, Nassau, Suffolk, Rockland, Orange, Sullivan County, Long Island, and Westchester. You will ensure compliance with Department of Health (DOH)...

  • Care Manager V

    4 weeks ago

    New York, United States Integrated Resources, Inc Full time

    Job Title: Care Manager V (New Grad RN) Location: New York, NY Duration: 6 Month Contract (+possible Extensions)   Pay range:  $56.38/hr. on W2   Responsibilities: Schedule will be M-F 8:30AM-5PM. Borough: Brooklyn, Queens, Manhattan, Bronx/ Westchester will visit members in their homes, assisted living facilities and nursing homes. Daily responsibilities...

  • Case Management Nurse

    2 weeks ago

    New York, United States WeWil LLC Full time

    Care Manager or UAS Assessment (Registered Nurse) - HybridResponsibilities: Must be in the NY Metro area! NYC, Bronx, Brooklyn, QueensRe-evaluates client functioning, health and psychosocial status; identifies changes since the initial or most recent assessment; and determines new or ongoing needs. You will independently perform visits to conduct functional,...

  • Field Assessment Nurse Queens, NY- $5,000 Sign On

    4 days ago

    New York, New York, United States UnitedHealthcare Full time

    $5,000 Sign on Bonus for External CandidatesThis is a full time opportunity - Monday through Friday - 8:30 am to 5:00pm EST At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health...

  • UAS Assessment RN

    2 weeks ago

    New York, NY, United States MJHS Health System Full time

    Req #: 1440 Job ID: 13032 Job Location: New York, NY Zip Code: 10040 Category: Managed Care Nursing Agency: Elderplan Status: Regular Full-Time Office: Remote/Field-based Salary: $85,000.00 - $105,000.00 per year As an employer, MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have cited...