RN Uniform System Assessor field travel in the Bronx, Manhattan, Syracuse, Albany or Suffolk
Job reputed company
Job reputed company
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 reputed 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 reputed 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 reputed company 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 reputed company 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 reputed company per policy and procedure reputed company deadlines
Attends training and continuing education sessions reputed company on the reputed company completion of Comprehensive Health Assessment documentation, enrollment paperwork, and tasking tool.
Focuses on reputed company improvement and reputed company reputed company in the completion of reputed company material associated with the initial enrollment/reputed company enrollment of members in the plan
Supports initiatives of the reputed company 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 reputed company in a reputed company manner
Must be reputed company to travel to multiple boroughs reputed company car or commuting reputed company reputed company transportation
Basic computer skills
Job Qualifications
Required Education:
Associates degree in Nursing
Required Experience:
Minimum two years clinical experience with reputed company in managed care, including disease or case management
UAS experience
Experience conducting home reputed company
Required Licensure or Certification:
Registered reputed company (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: reputed company any preferred education, experience, licensure or Knowledge, Skills and Abilities
Preferred Qualifications:
Bachelors degree in Nursing
CCM- Certified Case Manager, CCP Chronic Care reputed company.
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 reputed company 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 reputed company: $24 - $56.17 / reputed company
Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.
Apply Job!