Field Pediatric Assessment RN - Bronx/Westchester - $10,000 Sign on Bonus

Healthfirst; Field (NM); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

401(k) contributions

Incentive programs

Job summary

Healthfirst is seeking an Assessment Nurse to conduct field assessments for members throughout downstate New York. This role requires making eligibility determinations and documenting service needs and member enrollment.

The ideal candidate holds a New York State RN license and can travel within the region. The position offers a robust benefits package including medical, dental, and vision coverage, along with recognition programs.

Qualifications

• Registered Nurse license required in New York.
• Experience in pediatric clinical field preferred.
• Ability to travel around downstate New York.

Responsibilities

• Conduct field assessments and virtual assessments.
• Make enrollment and continued eligibility determinations.
• Review previous nursing assessments for necessary adjustments.

Skills

Clinical expertise

Critical thinking

Time management

Communication skills

Problem-solving skills

Education

New York State Registered Nurse (RN) license

Valid New York State ID

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Electronic patient health information databases (UAS NY)

Job description

The Assessment Nurse conducts field assessment visits for members or prospective members around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine membership enrollment, service needs, and continued plan eligibility.

Responsibilities

• Conduct home assessments (and virtual assessments as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS).
• Make enrollment and continued eligibility determinations utilizing clinical expertise and critical thinking skills.
• Conduct assessments in settings other than home, such as skilled nursing facilities or virtually.
• Complete assessment of service needs per Care Management Team (CMT) and member's family/caregiver request to determine service needs or necessary adjustments.
• Review previous nursing assessments/medical notes to determine necessary adjustments or updates in the Care Plan and/or assist with nursing home admission.
• Conduct in-person Care Management visits to support person-centered service planning.
• Act as liaison between the member and the CMT; assess home environment and psychosocial status.
• Provide feedback to home care agencies and the CMT regarding home care issues and contract nurse and aide performance.
• Provide grassroots, community-based training for frail population care, including self-care techniques and prevention strategies.
• Ensure (prospective) members and significant others/responsible parties understand and agree with enrollment in a managed long-term care plan.
• Perform additional duties as assigned.

Minimum Qualifications

• New York State Registered Nurse (RN) license.
• Valid New York State ID.
• Ability to travel around downstate New York, including the 5 boroughs, Long Island, Rockland, and Westchester.
• For PEDS positions: 1 year of pediatric clinical field experience and/or experience with families and child-serving systems, including child welfare and/or medically fragile/developmentally disabled populations.

Preferred Qualifications

• Previous field-based experience assessing, planning, and evaluating members' care by making home or facility visits for intake/reassessments or start of care (SOC).
• Community Home Health Agency (CHHA) visit experience.
• Work experience in geriatrics, home care, discharge planning, case management, and/or medical-surgical nursing.
• Experience using electronic patient health information (PHI) databases, especially UAS NY.
• NY state driver’s license.
• Knowledge of health insurance, Medicaid, Medicare, and MLTCP.
• Experience working with frail adult or elderly populations, including determining appropriate care plans and services and negotiating initial service plans.
• Time management, critical/creative thinking, communication, and problem-solving skills.

Language Preferences

• Spanish
• Russian
• French
• Creole
• Mandarin
• Cantonese

Additional Skills

• Intermediate proficiency in Microsoft Word, Excel, and Outlook.

Benefits

Healthfirst offers employees the following benefits: medical, dental, and vision coverage; incentive and recognition programs; life insurance; and 401(k) contributions. All benefits are subject to eligibility requirements.

EEO Statement

Healthfirst is an equal opportunity employer. Applicants and employees are considered for positions 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 status under federal, state, or local law. Reasonable accommodations for the application process are available upon request.