UAS Assessor - Sr Care Manager - RN

Integrated Resources Inc.; New York (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading company in healthcare services seeks an experienced UAS Assessor to join their team. This position requires a registered nurse with a strong background in managed care and the ability to conduct thorough assessments. The role involves travel across multiple New York locations and offers some flexibility in scheduling, making it ideal for professionals looking for a dynamic and impactful position.

Qualifications

• Minimum 5 years clinical experience focused on managed care.
• Experience in behavioral health disease or case management.
• Familiar with Milliman Care Guidelines and chronic illnesses.

Responsibilities

• Complete UAS Initial Assessments and Reassessments.
• Attend training and improve quality in documentation.
• Conduct assessments in consumer homes.

Skills

Care Management

Behavioral Health

Clinical Assessment

Education

Registered Nurse Licensure

Job description

TITLE: UAS ASSESSOR – SR. CARE MANAGER – RN (ENGLISH SPEAKING ONLY). LOCATION: BROOKLYN, NY 11201. DURATION: 6+ MONTHS (POSSIBLILY EXTENTION) TIMINGS: 9 AM TO 5 PM (HOWEVER THERE IS SOME FLEXIBILITY WITH THE HOURS.) UAS ASSESSOR EXPERIENCE IS A MUST! THE HIRING MANAGER IS LOOKING FOR ENGLISH ONLY CANDIDATES NOTE:-

· This is a traveling position at a rate of $.54/mile. The selected candidates will travel to Brooklyn, Queens, The Bronx, Manhattan, and West Chester.

· On very few occasions, the candidate may have to travel between two cities on one day, but that is not likely. The position is M-F with the typical hours of 9 am - 5 pm; however, there is some flexibility with the hours.

Description:

· Responsible for the completion of UAS Initial Assessments and Reassessments based on NY State requirements and guidelines and training provided by Client and/or outside resources.

· Enrollment paperwork materials required to appropriately process consumer's application for enrollment.

· UAS Tasking Tool based on guidelines and training provider by Client and/or outside resources.

· Responsible for correction and revision of UAS, paperwork, and taking tool documentation based on review and feedback provided through quality and associated review processes.

Job Description

ESSENTIAL FUNCTIONS:

· Complete UAS Initial and/or Reassessment documentation, enrollment paperwork, and taking tool in the consumer's home.

· Attend training and continuing education sessions and lessons focused on the proper completion of UAS documentation, enrollment paperwork, and taking the tool.

· Focus on continuous improvement and quality excellence in the completion of all material associated with the initial enrollment/continued enrollment of consumers as members in the plan.

· Supports initiatives of the Quality Assessment and Performance Improvement Committee.

· All other duties as assigned.

Requirements/Certifications:

· The hiring manager is looking for English ONLY candidates.

· UAS Assessor experience is a MUST!

· This is a traveling position at a rate of $.54/mile.

· The selected candidates will travel to Brooklyn, Queens, The Bronx, Manhattan, and West Chester.

· On very few occasions, the candidate may have to travel between two cities on one day, but that is not likely.

· The position is M-F with the typical hours of 9 am - 5 pm; however, there is some flexibility with the hours.

· Minimum 5 years clinical experience with a focus in managed care, including behavioral health disease or case management.

· Care Management\RN - Registered Nurse, State and/or Compact State Licensure.

· Understands and is able to apply principals of Care Management and Person Centered Service Planning.

· Is able to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines.

· Is able to understand and apply coverage guidelines and benefit limitations.

· Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses (depression, challenging behaviors, Alzheimer's disease and other disease-related dementias).

· Understands and adapts appropriately to issues related to communication, cognitive or other barriers.