The Assessment Nurse makes field assessment visits around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members’ enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst’s long term care plans such as CompleteCare, FIDA, and Senior Health Partners.
Duties and Responsibilities
- Conducts home assessments for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities
- Completes assessment of service needs per CMT and member's family/caregiver’s request to determine service needs or any necessary adjustments
- Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission
- Liaisons between the member and the CMT; assesses home environment and psychosocial status
- Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance
- Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies
- Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan
- Additional duties as assigned
Minimum Qualifications
- New York State RN license.
- Ability to travel around downstate New York which includes the 5 boroughs, Long Island, and Westchester.
Preferred Qualifications
- Work experience preferred in one or more of the following areas:
- Geriatrics
- Home Care
- Discharge Planning
- Case Management
- Medical Surgical Nursing
- Work experience using electronic patient health information (PHI) database usage especially UAS
- Unexpired NY state driver’s license or NYS ID
- Knowledge of health insurance, Medicaid, Medicare and MLTCP
- Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement
- Time management, critical/creative thinking, communication, and problem-solving skills
- Field experience assessing, planning, and evaluating member's/patient’s care
- Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese
- Demonstrated ability handling heavy caseloads
- Intermediate Microsoft Word, Excel, and Outlook skills
Please note: Since we care so greatly about our employees' and members' wellbeing, Healthfirst is moving to an environment where our employees are fully vaccinated against COVID-19. As a prospective new team member, you must be fully vaccinated with a CDC/FDA approved COVID-19 shot(s) to work in our offices. If you are selected to interview for this role, we will explain our vaccination policy in further detail and ensure you are comfortable moving forward with this company policy.