Home Care UAS Nurse
New York, NY
1. Perform initial in-home pre-evaluation of patients and or re- evaluation of consumers remote. That includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case 3. Enter evaluation data into electronic evaluation form and transmit, as required 4. Document any concerns, conflicting information, other issues that surface during the evaluation process 5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan 6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options 7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan 8. Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery 9. Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM 10. Identify opportunities for health promotion and illness prevention 11. Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
12. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
NYState RN license
One year of Home Care or UAS experiance