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Clinical Care Coordinator
2 months ago
We are seeking a skilled and compassionate Field Nurse to join our team at w3r Consulting. As a Field Nurse, you will play a critical role in conducting face-to-face assessments of members in their homes and/or facilities, utilizing required NYS UAS Assessment Tools to determine functional status, medical, behavioral, psychological, and community resource needs.
Key Responsibilities- Conduct face-to-face assessments of members utilizing required NYS UAS Assessment Tools to determine functional status, medical, behavioral, psychological, and community resource needs.
- Collaborate with interdepartmental teams and external stakeholders to assist in the development of Person-Centered Service Plans.
- Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
- Identify social service programs, including financial, psychosocial, community, and state supportive services available to augment the need for LTSS services.
- Refer appropriate cases to governmental agencies as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated internal/external entity.
- Communicate with all internal and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
- RN with valid and current NYS Nursing Licensure.
- Valid NYS drivers license required.
- A minimum of four years clinical experience in ambulatory care, community health, or home health setting.
- Long Term Support Services (LTSS) or Managed Long-Term Care (MLTC) UAS field RN experience preferred.
- Excellent written and verbal communication skills.
- Excellent computer skills and use of measurement/criteria following NYS guidelines.
- Working knowledge of Microsoft Office applications (Word, Excel).
- Strong interpersonal skills.
- Understanding of the basic Utilizations Management aspects of the department.
- Ability to provide efficient, effective, and appropriate documentation.
- Ability to take on broader responsibilities.
- May be asked to participate in some committees.
- Broad understanding of multiple areas, including but not limited to UM and CM, Fair Hearings and Appeals/Grievances, within three months of working in position.
- Demonstrates ability to handle complex assignments, difficult members, and highly visible issues.
- Must have ability to travel.
- Ability to travel across regions.
In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.
w3r Consulting is an Equal Opportunity Employer. As such, requires all suppliers of temporary staffing resources to affirm the rights of every person to participate in all aspects of employment without regard to race, color, sex/gender, age, disability, religion, creed, citizenship status, national origin, veteran status, military status, marital status, familial status, domestic violence victim status, sexual orientation, gender identity, predisposing genetic characteristic, genetic information, or any other status protected under the law.
