Intake Nurse – RN (MLTC)

Pride Health; New York (NY); Hybrid; USD 100,000 - 130,000; Full time

Job summary

Pride Health is seeking an Intake Nurse - RN in New York, responsible for assessing new members for eligibility and explaining the program details. The role requires regular travel to patient homes and community settings within a designated territory, collaborating with clinical teams to ensure seamless service delivery. The ideal candidate must have a nursing license in New York, with one year of acute care experience and a strong knowledge of Medicare/Medicaid regulations. Compensation ranges from $100,000 to $130,000 annually.

Qualifications

• Current Registered Nurse license in New York required.
• One year of experience in an acute care setting.
• Experience in home care management preferred.

Responsibilities

• Conduct outreach in the community as needed.
• Perform initial assessments using the UAS tool.
• Evaluate potential members for eligibility and safety.

Skills

Effective communication

Problem-solving skills

Knowledge of Medicare and Medicaid regulations

Ability to work in a mobile setting

Education

Associate's degree in nursing

Bachelor's degree (preferred)

Job description

This is a field-based role requiring regular travel to patient homes and community settings

Candidates will be assigned to a designated territory (e.g., one borough/region)

Travel within the assigned territory is required for the majority of the workday (50%+ travel)

Must reside within or near the assigned territory

Job Summary

The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities within the community and the assessment of eligibility and safety of potential members. Collaborates with other members of the Intake/Outreach team and the clinical team to assure the appropriate provision of services to new members. Communicates with potential members, family, referral sources and physicians to assure a seamless transition to managed long term care.

Essential Functions

Conducts outreach in the community as needed.

Performs the initial assessment using the UAS (Uniform Assessment System) tool.

Evaluates potential members for eligibility and safety.

Determines the care needs of potential members and formulates the initial plan of care.

Communicates with the clinical team to ensure seamless delivery of service.

Completes all enrollment documentation in a timely manner.

Serves as a community resource for intake issues.

Demonstrates the ability to integrate age specific requirements with individual developmental, mental, social and cultural needs when performing procedures for geriatric members.

Perform any other job-related duties as requested.

Education and Experience

Associate's degree in nursing required

Bachelor's degree preferred

One (1) year experience working in an acute care setting required

Home care and management experience preferred

Managed Long Term Care experience preferred

Competencies, Knowledge and Skills

Ability to define problems, collect data, establish facts, and draw conclusions

Ability to speak effectively before groups or customers or employees of organization

Must be able to read, write, and speak English

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals

Demonstrates the ability to utilize the equipment necessary to perform their job duties

Convey a positive attitude by being friendly, kind and interested in helping others

Create a home-like, healing environment by being courteous and respectful to all

Knowledge of Medicare and Medicaid regulations

Experience using multiple languages may be required based on operational needs

Licensure and Certification

Current Registered Nurse license in the state of New York required

Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated

Working Conditions

This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.

Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.

Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need

May be required to travel greater than 50% of time to perform work duties.

Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer

Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

Routine travel required

Compensation

$100,000 – $130,000 annually

Apply Now

If you are an RN with MLTC and UAS experience looking for a rewarding field-based opportunity, apply today to learn more.