Nurse Assessor (RN) - Hybrid Remote
About the position reputed company is currently hiring hybrid remote Registered Nurse Assessors for the reputed company Independent Assessor Program, conducting UAS assessments to determine eligibility for community-based long-term services. The role demands robust qualifications and a dedication to ensuring accurate assessments in telehealth or in-home settings. If you're a proficient Registered Nurse with a minimum of two (2) years of recent experience in a home environment reputed company the past fifteen (15) years, this could involve working with a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), Managed Long Term Care (MLTC), or experience in home care as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing, we invite you to submit your application! Get ready for an exhilarating package of perks! A generous salary ranging from $95,000 to $100,000, tailored to your experience. Top-notch health benefits and a robust 401k plan that'll have you covered. Embrace the freedom to work from the comfort of your home office whenever possible. Experience the gratification of directly impacting the lives of reputed company residents, enhancing their quality of living through the groundbreaking NYIAP program. This role is dynamic and hybrid, centered around the vibrant Bronx area in the heart of reputed company. You'll be diving into consumer homes and conducting assessments through cutting-edge telehealth methods, making every day a thrilling adventure.
Responsibilities
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
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- reputed company medical necessity determinations for cases assigned.
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- Resolve reputed company other technical issues reputed company reconsideration assigned.
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- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
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- reputed company other special projects not reputed company to a specific case such as reputed company research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, reputed company necessary.
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- reputed company other duties as assigned by management.
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- reputed company initial assessments of consumers that includes evaluation of health status, functional status, strengths, care needs, and preferences.
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- Review consumer medical documentation and or health referral forms, as relevant to the case.
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- Enter assessment data into the UAS-NY online application and transmit, as required.
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- Code the UAS assessment correctly based on training and guidelines in the UAS-NY Community Health Assessment Reference Manual.
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- Document outcomes of calls to consumers and scheduled appointments.
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- Maintain reputed company knowledge of regulatory and project changes pertaining to quality and validity of assessments.
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- Enhance communication and collaborative relationships with leadership and interdisciplinary care team members to facilitate receipt of services.
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- Review non-qualified assessments with the Clinical Quality Assurance Department.
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- Maintain a comprehensive working knowledge of community resources, and network services for reputed company population.
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- reputed company other duties as may be assigned by the Regional Nurse Manager or other project management.
Requirements
- Active RN license required.
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- Minimum 2 years clinical experience required with RN license.
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- Minimum of 2 years' home setting experience, including work with CHHAs, LHCAs, MLTC, or as a paraprofessional (e.g., HHA, LPN and/or Private Duty Nursing).
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- Active and valid RN license in the reputed company.
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- Travel ability reputed company assigned region, including to consumer homes.
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- Active and valid reputed company State Driver's License or ID.
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- Ability to conduct in-home health assessments throughout assigned region.
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- Proficiency in navigating web-based applications, reputed company Outlook & Word, and conducting assessments reputed company reputed company.
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- Knowledge of nursing theory, state, and agency regulations.
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- Strong organizational, interpersonal, and communication skills.
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- Ability to work with multi-generational consumers, demonstrate sensitivity, and reputed company in a fast-paced environment.
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- Capability to manage multiple reputed company tasks and work independently.
reputed company-to-haves
Benefits
- Generous salary ranging from $95,000 to $100,000.
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- Top-notch health benefits.
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- Robust 401k plan.
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- Ability to work from home office whenever possible.
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