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Clinical - Assessment Nurses
Ref No.: 18-10533
Location: New York, New York
Locations Needed to be filled.



1. Perform initial in-home pre-assessment of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter assessment data into electronic assessment form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the assessment process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
8. Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery
9. Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM
10. Identify opportunities for health promotion and illness prevention
11. Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
12. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
13. Performs other duties as may be assigned by the Regional Nurse Manager or other project management.

Required Education: Graduate of an accredited nursing program;
Preferred Education: BSN in Nursing and/or equivalent certification
Required Licensure: Current RN Licensure in New York State
Required Experience:2+ years RN experience in medical / surgical / geriatric / LTC / ambulatory care
Preferred Experience: 3+ years of human services experience working with the public

Required Skills: Ability to review health status questions and make assessments and determinations based on UAS criteria for enrollment; ability to work with technology in the workplace; knowledge of the theory, principles, and practices of general professional nursing; knowledge of state and agency laws and regulations governing general professional nursing practices; excellent organizational, interpersonal, written, and verbal communication skills; ability to communicate and work effectively with multi-generational consumers; ability to demonstrate sensitivity to the concerns of others; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; and a strong ability to work independently

Bilingual: As required in the job posting, May be required in commonly spoken languages
Other Travel required; NY State Driver's license required