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Field Assessment RN, Bronx, NY
24 hours ago
Duties and Responsibilities:Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtuallyNavigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficientlyCompletes assessment of service needs per CMT and member's family/caregivers request to determine service needsor any necessary adjustmentsReviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admissionConducts in-person Care Management visits in support of person-centered service planningLiaisons between the member and the CMT; assesses home environment and psychosocial statusProvides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performanceProvides grass roots, community-based training for frail population care including self-care techniques and prevention strategiesEnsures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care planAdditional duties as assignedMinimum Qualifications:New York State RN licenseAbility to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester.Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalitiesPrior work experience requiring intermediate Microsoft Word, Excel, and Outlook skillsPrior work experience requiring time management, critical/creative thinking, communication, and problem-solving skillsFor PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populationsPreferred Qualifications:Work experience using electronic patient health information (PHI) database usage especially UASPrevious field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visitsWork experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursingKnowledge of health insurance, Medicaid, Medicare and MLTCPExperience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreementLanguage preferences - Spanish, Russian, French, Creole, Mandarin, CantoneseDemonstrated ability handling heavy caseloadsNY state drivers licenseWE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
