Nurse Evaluator - Herkimer / Hamilton / Fulton / Montgomery / Warren / Saratoga / Schenectady / Albany / Washington, United States - Integrated Resources, Inc

Description

• Working in the community conducting strength-based assessments for families who have children (ages 0-21) with behavioral health/psychiatric issues. All nurses are provided support and education for ongoing professional development and annual certification in the CANS-NY assessment tool.
• The assessments will be the basis for family-driven Plan of Care (POC) development to support the family's access to Home and Community Based Services (HCBS). The Nurse Evaluator will conduct 1-2 assessments a day and work with a Family Support Coordinator to meet the family's case management needs specifically related to the HCBS POC.
• This position is field based with some initial training provided in Manhattan area.

• Develop Home and Community Based Services (HCBS) Plan of Care (POC) in collaboration with child and family that includes evaluation of health status.
• Perform initial in-home evaluations of children that includes evaluation of health status, strengths, care needs, and preferences and guide the development of individualized long term care service plans.
• Review child's medical documentation and or health referral forms, as relevant to the case.
• Utilize the State CANS assessment tool and MAXIMUS case management systems to document the child's health status, strengths, care needs, diagnoses and preferences and transmit, as required.
• Properly 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 child/family health care options, supports needed, service vendor options and waiver options.
• Update plans of care as per State requirements, and on an as needed basis.
• Collaborate with Family Support Coordinators to meet the needs of the family.
• 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.
• Provide relevant information in response to the child's specific needs as a bridge between when the in-home evaluation is conducted, and evaluation results are provided.
• Maintain a comprehensive working knowledge of community resources 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.
• Performs other duties as may be assigned by the Regional Manager or other project management.

• Graduate of an accredited nursing program Preferred.
• Education BSN in Nursing and/or equivalent certification Required.
• Licensure Current RN Licensure in New York State Required
• Experience 2+ years of relevant experience as RN.

• Home care experience using the UAS-CANS-NY system or like the UAS such as OASIS.
• Experience in assessments that are conducted face to face, telephonically or telehealth.
• RN experience in homecare/psychiatric/behavioral health/pediatrics/adolescent/foster care settings/group home/school nurse/care management.
• Consistent technological experience using computer systems for assessments/word processing tasks. Experience in developing Plans of Care.

• Ability to review health status questions and make evaluations and determinations based on the UAS-CANS-NY system 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.

• Knowledge of motivational interviewing techniques
• Bilingual May be required in commonly spoken languages such as Spanish, Russian, Haitian – Creole, Chinese Other Travel required.
• NY State Driver's license required; vehicle may be required depending on the region of coverage.
• T ravel required; NY State Driver's license required; vehicle may be required depending on the region of coverage.