Assessment Nurse

Healthfirst; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking an Assessment Nurse to conduct field assessments in downstate New York. This role involves evaluating members' service needs, coordinating with the Care Management Team, and ensuring effective operations of long-term care plans. The ideal candidate will have a New York State RN license and experience in geriatrics or home care. You will play a vital role in assessing home environments, providing feedback to care agencies, and ensuring that members understand their enrollment in managed care plans. If you are passionate about improving the lives of frail populations and have strong critical thinking and communication skills, this opportunity is perfect for you.

Qualifications

• Must possess a valid New York State RN license.
• Experience in geriatrics or home care is preferred.

Responsibilities

• Conduct home assessments and determine service needs for members.
• Liaise between members and Care Management Team for effective care.

Skills

Critical Thinking

Communication Skills

Time Management

Problem-Solving Skills

Field Assessment

Education

New York State RN License

Tools

Electronic Patient Health Information (PHI) Database

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

The Assessment Nurse makes field assessment visits around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members’ enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst’s long term care plans such as CompleteCare, FIDA, and Senior Health Partners.

Duties and Responsibilities:

• Conducts home assessments for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); makes enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home, e.g., skilled nursing facilities.
• Completes assessment of service needs per CMT and member's family/caregiver’s request to determine service needs or any necessary adjustments.
• Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission.
• Liaisons between the member and the CMT; assesses home environment and psychosocial status.
• Provides feedback to home care agencies and CMT regarding home care issues and contract nurses' and aides' performance.
• Provides grassroots, community-based training for frail population care including self-care techniques and prevention strategies.
• Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan.
• Additional duties as assigned.

Minimum Qualifications:

• New York State RN license.
• Ability to travel around downstate New York, which includes the 5 boroughs, Long Island, and Westchester.

Preferred Qualifications:

• Work experience preferred in one or more of the following areas:
  • Geriatrics
  • Home Care
  • Discharge Planning
  • Case Management
  • Medical Surgical Nursing
• Work experience using electronic patient health information (PHI) database usage, especially UAS.
• Unexpired NY state driver’s license or NYS ID.
• Knowledge of health insurance, Medicaid, Medicare, and MLTCP.
• Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for the frail population as well as negotiate initial service plans so that members and families are in agreement.
• Time management, critical/creative thinking, communication, and problem-solving skills.
• Field experience assessing, planning, and evaluating member's/patient’s care.
• Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese.
• Demonstrated ability to handle heavy caseloads.
• Intermediate Microsoft Word, Excel, and Outlook skills.

Please note: Since we care so greatly about our employees' and members' wellbeing, Healthfirst is moving to an environment where our employees are fully vaccinated against COVID-19. As a prospective new team member, you must be fully vaccinated with a CDC/FDA approved COVID-19 shot(s) to work in our offices. If you are selected to interview for this role, we will explain our vaccination policy in further detail and ensure you are comfortable moving forward with this company policy.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to 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.