Community Health Professional
2 weeks ago
Tandym Group is currently seeking a skilled Registered Nurse to fill the role of a Community Health Nurse in Queens, New York. This position involves providing direct care to prospective participants and guiding them through the clinical onboarding process.
Responsibilities:- Education and Guidance: Educate prospective participants on plan benefits, services, and care delivery models
- Administrative Support: Assist with administrative functions, including follow-up on referrals and appointments, as well as tracking and reporting of daily activities
- Intake Coordination: Work closely with the intake operational team regarding in-home or virtual assessment appointments with prospective participants
- Eligibility Determination: Conduct pre-enrollment UAS and determine eligibility of prospective participants
- Quality Assurance: Collaborate with the Quality Review team to ensure accuracy and completeness of all necessary documentation
- Service Planning: Develop service plans and obtain enrollment agreement documentation during home visits or other agreed-upon settings
- Process Improvement: Advise on operational process improvements that positively impact enrollment turnaround, scheduling logistics, expense/financial-related efficiencies, engagement strategies, reporting, and other critical touchpoints
- Documentation: Document all interactions and outcomes in designated clinical management/electronic record systems
- Prior experience in MLTC, LTTHCP, and/or Managed Care programs
- Graduate of an accredited School of Nursing
- NYS Registered Nurse (RN) license
- Solid assessment, clinical, and documentation skills
- Patient-oriented approach
- Excellent communication and interpersonal skills
- Strong attention to detail
- Highly organized
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Community Health Nurse
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