Nurse Assessor - New York, United States - HealthFirst Staffing

Description

Ability to review health status questions and make evaluations and determinations based on UAS criteria for enrollment; ability to work with technology in the workplace; knowledge of the theory, principles, and practices of general professional nursing; knowledge of state and agency laws and regulations governing general professional nursing practices; excellent organizational, interpersonal, written, and verbal communication skills; ability to communicate and work effectively with multi-generational consumers; ability to demonstrate sensitivity to the concerns of others; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; and a strong ability to work independently.

Job responsibilities:

• Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
  
• Review consumer medical documentation and or health referral forms, as relevant to the case
  
• Enter evaluation data into electronic evaluation form and transmit, as required
  
• Document any concerns, conflicting information, other issues that surface during the evaluation process
  
• Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
  
• Discuss with consumer on health care options, supports needed, service vendor options and waiver options
  
• Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
  
• Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery
  
• Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM
  
• Identify opportunities for health promotion and illness prevention
  
• Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
  
• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.