RN UAS Assessor
4 days ago
Maximus is currently seeking a Registered Nurse (RN) to fill a UAS Assessment position. The successful candidate will be responsible for conducting assessments to determine eligibility for community-based long-term services.
The ideal candidate will have a minimum of two years of recent experience in a home environment, including work with Certified Home Health Agencies (CHHAs), Licensed Home Care Service Agencies (LHCSAs), Managed Long Term Care (MLTC), or as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing).
The RN will be responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations, rendering medical necessity determinations for cases assigned, and resolving all other technical issues within reconsideration assigned.
The successful candidate will also be responsible for performing initial assessments of consumers, reviewing consumer medical documentation and/or health referral forms, entering assessment data into the UAS-NY online application, and transmitting as required.
The RN will be required to maintain current knowledge of regulatory and project changes pertaining to quality and validity of assessments, enhance communication and collaborative relationships with leadership and interdisciplinary care team members, and perform other duties as assigned by management.
Key Responsibilities:
- Conduct assessments to determine eligibility for community-based long-term services
- Review favorable and partially favorable determinations in accordance with applicable regulations
- Render medical necessity determinations for cases assigned
- Resolve all other technical issues within reconsideration assigned
- Perform initial assessments of consumers
- Review consumer medical documentation and/or health referral forms
- Enter assessment data into the UAS-NY online application and transmit as required
- Maintain current knowledge of regulatory and project changes pertaining to quality and validity of assessments
- Enhance communication and collaborative relationships with leadership and interdisciplinary care team members
Requirements:
- Active RN license required
- Minimum 2 years clinical experience required with RN license
- Minimum of 2 years' home setting experience, including work with CHHAs, LHCSAs, MLTC, or as a paraprofessional (e.g., HHA, LPN and/or Private Duty Nursing)
- Active and valid RN license in the state of New York
- Travel ability within assigned region, including to consumer homes
- Active and valid New York State Driver's License or ID
- Ability to conduct in-home health assessments throughout assigned region
- Proficiency in navigating web-based applications, Microsoft Outlook & Word, and conducting assessments via Zoom
- Knowledge of nursing theory, state, and agency regulations
- Strong organizational, interpersonal, and communication skills
- Ability to work with multi-generational consumers, demonstrate sensitivity, and perform in a fast-paced environment
- Capability to manage multiple complex tasks and work independently
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