Assessment Nurse

Overview

• Conduct comprehensive assessments using the Uniform Assessment System (UAS-NY) for members' clinical, psychological, and social needs.
• Ensure accurate documentation and compliance with New York State Department of Health regulations.
• Collaborate with interdisciplinary care teams to develop individualized care plans.
• Perform hybrid assessments, including telephonic and in-home visits, accommodating patient preferences.
• Complete enrollment and reassessment cases within mandated timeframes and departmental policies.
• Explain program benefits and rules to members in an accessible manner.
• Provide training and support during onboarding, ensuring readiness for field assessments.
• Maintain communication with members, families, caregivers, and healthcare professionals regarding care plans.

Key Responsibilities & Duties

• Conduct initial enrollment assessments and reassessments for members using UAS-NY protocols.
• Determine eligibility and establish safe, effective plans of care for members.
• Communicate assessment outcomes to referral sources and enrollment representatives.
• Complete all necessary documentation, including DOH-approved forms, within regulatory timeframes.
• Address urgent requests, safety concerns, and clinical care needs promptly.
• Collaborate with care management teams to ensure comprehensive member support.
• Provide clear communication regarding program rules, benefits, and responsibilities.
• Support members in navigating healthcare services and Medicare benefits.

Job Requirements

• Associate Degree in Nursing required; Bachelor's Degree preferred.
• Active RN license with a minimum of one year of experience in community health or managed care.
• Proficiency in Microsoft Word, Excel, and UAS-NY systems.
• Bilingual skills in Bangla, Hindi, Urdu, Mandarin, Cantonese, or Spanish preferred.
• Comfortable managing primary and secondary territories for assessments.
• Ability to conduct hybrid assessments, including telephonic and in-home visits.
• Strong organizational skills to manage multiple cases and meet productivity targets.
• Experience with MLTC or homecare assessments highly desirable.