Assessment Specialist

VNS Health; New York (NY); On-site; USD 85,000 - 106,000; Full time

Benefits offered by this job

Referral bonus opportunities

Generous PTO and holidays

Health insurance for you and family

Employer-matched retirement savings

Tuition reimbursement

Professional growth opportunities

Internal mobility and CEU credits

Job summary

VNS Health seeks a Registered Nurse in New York to support audits of UAS assessments across plans, ensuring documentation is complete, accurate and compliant with regulations. You will evaluate ATSP vs UAS responses to verify home health aide hours and review reports to identify improvement opportunities.

The role requires NYS RN licensure, an Associate's Degree in Nursing, and at least two years of nursing experience in institutional, home care, or managed long-term care settings.

Qualifications

• License and current registration to practice as an RN in New York State.
• Associate's Degree in Nursing required; Bachelor's or Master's preferred.
• Minimum two years' nursing experience in an institution, Home Care or Managed Long Term Care.

Responsibilities

• Reviews UAS assessments for completeness and accuracy.
• Compares ATSP vs UAS responses to validate hours.
• Reviews audit reports to identify trends and recommend improvements.
• Performs comprehensive clinical, psycho-social, and financial risk assessments.
• Maintains member confidentiality and HIPAA compliance.
• Completes required UASNY and other plan documents on time.
• Identifies appropriate home health aide hours per guidelines.
• Participates in departmental studies and special projects.

Skills

Nursing

Communication skills

HIPAA knowledge

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing preferred

Master's Degree in Nursing preferred

Job description

Overview

Audits UAS assessments for all VNS Health Plans product lines to ensure quality and regulatory compliance. Conducts change in condition assessments, as well as other assessments as needed. Works under general supervision.

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

• Reviews Uniform Assessment System (UAS) assessments completed by internal staff and external vendors to ensure documentation is complete, accurate, consistent and appropriate.
• Compares Aide Task Service Plan (ATSP) versus UAS responses to ensure validity/accuracy of determined home health aide hours.
• Reviews audit reports to identify trends and areas for improvement. Makes recommendations for change, as appropriate.
• Conducts comprehensive clinical, psycho-social, and financial risk assessments of members as needed. Maintains member confidentiality and compliance with HIPPA requirements.
• Completes required assessment form (UASNY) and other VNS Health Plans documents within the required timeframes and in accordance with VNS Health Plans established policies and procedures and State and Federal guidelines and regulations.
• Identifies appropriate home health aide hours based on Personal Care Assessment /other appropriate tool and program guidelines.
• Participates and assists in departmental studies and projects as assigned.
• Stays abreast of current and potential changes to federal, state and local statutes and regulations and applicable UAS and quality assurance standards. Makes recommendations to department leadership based on changes.
• Participates in special projects and performs other duties as assigned.

Qualifications

Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required. Valid driver's license or NYS Non-Driver photo ID card may be required as determined by operational needs.

Education: Associate's Degree in Nursing required. Bachelor's Degree in Nursing Preferred Master's Degree in Nursing preferred

Work Experience: Minimum two years' nursing experience in an institution, Home Care or Managed Long Term Care Program Required Experience conducting enrollments Preferred Strong knowledge of federal and state health care regulations related to Medicare, Medicaid, managed care, and long term care Preferred Effective oral, written and communication skills Required General managerial experience and negotiation skills Preferred Proficiency in personal computer operations including MS Office applications Required Bilingual skills may be required as determined by operational needs Preferred Knowledge of geriatric population Preferred

Pay Range

USD $85,000.00 - USD $106,300.00 /Yr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.