Nurse Evaluator

New York, NY

Posted: 11/07/2018 Job Number: 11929893
 We are currently recruiting RN' s for full time Nurse Evaluator, Field Nurse Positions!
  1. Perform in-home HCBS Eligibility determinations
  2. Develop HCBS POC in collaboration with patient and family that includes evaluation of health status
  3. Perform an 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
  4. Review consumer medical documentation and or health referral forms, as relevant to the case
  5. Enter evaluation data into electronic evaluation form and transmit, as required
  6. Document any concerns, conflicting information, other issues that surface during the evaluation process
  7. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
  8. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
  9. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan.
  Required Skills:
Ability to review health status questions and make evaluations and determinations based on UAS 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
 
Required Experience:
2+ years of RN experience in pediatric psychiatric / behavioral health; more than 2 years of home health care experience
Required Education: Graduate of an accredited nursing program
Required Licensure: Current New York State License
multaneously; and a strong ability to work independently.
  We offer excellent compensation, medical benefits, dental and vison care.
Vacation and sick pay.
 
For more information call: Kimberly @ 212-719-9600 x 111
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Kimberly Nieves

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