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Geriatric Community Health Nurse

1 month ago

Ridgewood, New Jersey, United States Tandym Group Full time

A leading health services network in New York City is seeking a licensed Registered Nurse (RN) to join their team in Queens as a Community Health Nurse.

In this role, the Community Health Nurse (RN) will be responsible for guiding prospective participants through the clinical onboarding process, leading to enrollment within the network.


Key Responsibilities:

The Community Health Nurse (RN) will:
Provide education to prospective participants on plan benefits, services, and care delivery models
Assist with administrative tasks, including following up on referrals and appointments, and tracking and reporting of daily activities
Collaborate with the intake operational team regarding in-home or virtual assessment appointments with prospective participants
Conduct pre-enrollment UAS and determine the eligibility of prospective participants
Work with the Quality Review team to ensure the accuracy and completeness of necessary documentation
Develop service plans and obtain enrollment agreement documentation during home visits or other agreed-upon settings
Advise on operational process improvements to enhance enrollment turnaround, scheduling logistics, expense/financial-related efficiencies, engagement strategies, reporting, and other critical touchpoints
Document all interactions and outcomes in the designated clinical management/electronic record system
Regularly review key performance metrics and analytics to improve process flows and/or quality of work
Support new staff with onboarding to ensure a collaborative and efficient transition to the Clinical Intake Team
Perform other tasks as required

Requirements:
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
Great interpersonal skills
Excellent communication skills (written and verbal)
Strong attention to detail
Highly organized

Desired Skills:
Bilingual
Experience working with the Geriatric population