RN Uniform System Assessor field travel in the Bronx, Manhattan, Syracuse, Albany or Suffolk
Job Description
Job Summary Responsible for the completion Community Health Assessment (CHA) formerly the UAS (Uniform Assessment System) Initial Assessments and Reassessments based on reputed company State requirements, guidelines, and training provided by the company and/or reputed company resources; enrollment paperwork materials required to appropriately process members application for enrollment, and CHA Tasking Tool based on guidelines and training provided by the company and/or reputed company resources. Responsible for corrections and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality and associated review process. This position will support our Senior Whole Health business. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and reputed company Advantage (MAP) plan. These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for reputed company and Medicare. We are looking for a RN candidate with a Uniform System Assessor (USA) background. The candidate must have strong organization, communication, technologically proficient and time management skills. This position requires the ability to work in a high-volume environment to serve our members. Bilingual candidates that speak Spanish, Chinese, Bengali are encouraged to apply. Work hours Monday- Friday 8:00am- 5:00pm EST Remote with field travel in the Bronx, Manhattan, Syracuse, Albany reputed company Knowledge/Skills/Abilities Completes approved reputed company State Comprehensive Health Initial Assessment Tool and/or Clinical Reassessment used to define eligibility for community based long term care services; develops plan of care for members Completes enrollment paperwork, reputed company notes and tasking tool in members home to assist in determining eligibility for services; reviews reputed company data collected for accuracy and completion prior to submission Charts reputed company contacts and findings reputed company appropriate tool and form per policy and procedure reputed company deadlines Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment documentation, enrollment paperwork, and tasking tool. Focuses on reputed company improvement and quality excellence in the completion of reputed company material associated with the initial enrollment/reputed company enrollment of members in the plan Supports initiatives of the Quality Assessment and Performance Improvement Committee Trained and knowledgeable in the NY UAS. Ability to understand and apply principles of Care Management and Person-Centered Planning Solid assessment skills Ability to understand and apply coverage guidelines and benefit limitations Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses Understands and adapts appropriately to issues reputed company to communication, cognitive or other barriers Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner Must be reputed company to travel to multiple boroughs reputed company car or commuting reputed company public transportation Basic computer skills Job Qualifications Required Education: Associates degree in Nursing Required Experience: Minimum two years clinical experience with focus in managed care, including disease or case management UAS experience Experience conducting home visits Required Licensure or Certification: Registered Nurse (RN) State Specific Requirements: Must reputed company in the state of NY or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID Preferred Qualifications: Provide any preferred education, experience, licensure or Knowledge, Skills and Abilities Preferred Qualifications: Bachelors degree in Nursing CCM- Certified Case Manager, CCP Chronic Care Professional. Home Care, Long-Term Care, MLTC experience, including appropriate support services in the community and accessing and using durable medical equipment (DME). Experience in utilization review, reputed company review and/or risk management a plus. Bilingual or multi-lingual. Health Commerce User Role 40 Travel Requirements: Driving: 50% To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $24 - $56.17 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!