RN - Nurse Assessor

Job Description:

Summary: Ability to review health status questions and make evaluations 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 multigenerational consumers; ability to demonstrate sensitivity to the concerns of others; ability to perform comfortably in a fastpaced deadlineoriented work environment; ability to successfully execute many complex tasks simultaneously; and a strong ability to work independently.

Responsibilities:

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

Required Experience

• 12 years of experience in a HOME setting within the last ten (10) years.
• At a minimum successful candidates must have recent experience conducting comprehensive assessments of patients

Qualification: Two (2) years of experience in a HOME setting within the last ten (10) years; this may include:

• Working in the field for a Certified Home Health Agency (CHHA) Licensed Home Care Service Agency (LHCSA) or Managed LongTerm Care (MLTC)
• Conducting assessments that are similar to the UAS such as OASIS
• Providing primary care to homebound persons
• Care management for persons receiving home and communitybased services including Hospice and Assisted Living
• Home care experience as a paraprofessional (e.g. Home Health Aide) or Licensed Practical Nurse

PREFERED: In addition to meeting the required qualifications the additional experience represents the gold standard candidate for this position.

• Experience conducting assessments in UASNY (role 40 or 45) especially in the last 365 days.
• Experience caring for a geriatric population and managing their chronic diseases especially in the home setting.

OTHER: The following are examples of experience that may count toward preferred qualifications but does not satisfy the required qualifications on their own

• Home care experience with only one patient (i.e. private duty nursing)
• Case management that is limited to utilization reviews for a health plan or a combination of hospital and health plan case management.
• Assessments that were all conducted telephonically and did not involve going into the home.

Certification/Licenses: Current RN Licensure in New York State