Assessment Nurse
6 days ago
Nascentia Health is seeking a skilled Assessment Registered Nurse to join our team. As a key member of our healthcare team, you will be responsible for assessing prospective enrollees and active health plan members to determine potential care needs and plan eligibility.
Key Responsibilities- Conduct virtual or in-person visits with potential enrollees and active members of the health plan as assigned.
- Provide a comprehensive overview of program benefits to applicants, their family members, and caregivers.
- Educate consumers and members on their rights, responsibilities, and the services offered by Nascentia Health Options.
- Interview members, family members, or significant others identified through case findings to assess their service needs.
- Review the member handbook, provider directory, and covered services during the visit.
- Evaluate and review previous assessment information.
- Perform all assessment activities in compliance with regulatory agency requirements, completing necessary documentation and developing initial or updated care plans.
- Assist in identifying unmet needs and creating person-centered service plans to address them.
- Communicate effectively with potential members, their families, care management staff, and providers.
- Collaborate with the healthcare team to address potential enrollees' needs.
- Gather information on eligibility, benefit coverage, and benefit coordination.
- Ensure accurate completion of all required documentation in the health plan's electronic medical record (EMR) and quality review programs.
- Participate in departmental meetings, as well as scheduled staff meetings and applicable training sessions.
- Possession of a current Registered Professional Nurse license in New York State is required.
- A Bachelor of Science in Nursing (BSN) is preferred, while an associate degree is mandatory.
- Previous nursing experience of one year is preferred.
- Previous experience in long-term care and/or managed care settings is a plus.
- Knowledge of homecare, Medicare, and Medicaid is beneficial.
- Bilingual skills are a plus.
- Demonstrated ability to work independently and effectively manage workload priorities.
- Proficient in computer usage with a working knowledge of basic computer skills and Microsoft Office applications.
- Excellent interpersonal, virtual, and telephonic communication abilities.
- Valid New York State driver's license and ability to drive in all types of weather.
- Aptitude to comprehend and utilize the organization's software systems to execute job responsibilities.
The role is to work from home with the requirement to visit health plan members in their homes. Attendance of in-office work and meetings may be required.
Standard postures include Standing, sitting, bending, walking, and driving (frequently entering and exiting vehicles throughout the day).
Frequently uses a laptop computer to enter orders and obtain product information.
Sensory requirements include speech, vision, smell, and hearing.
Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally
Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
Compensation & BenefitsCompetitive Salary
$15,000 sign-on bonus **(restrictions may apply)
Retention bonuses
401k with generous Employer match
Medical, Dental, Vision plans
Tuition Reimbursement for BSN after 6 months of employment
Exceptional work/life balance - no rotating shifts, holidays or weekends
Partially funded HSA
Employee Recognition Platform
Paid Time Off, Holidays, and Extended Sick Leave
Short/Long term Disability
Employee Assistance Program (EAP)
Much More
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