Registered Nurse

UAS Reviewer – Registered Nurse | Hybrid | New York A small MLTC is looking for a UAS Reviewer to work primarily remotely except for monthly, quarterly meetings on site in the New York/Westchester area. Position Overview The UAS Reviewer will provide training and support to staff regarding UAS documentation and assessment responses while monitoring quality, accuracy, and regulatory compliance. Key Responsibilities Review UAS assessments for accuracy, consistency, and compliance Review community, functional, and mental health assessment responses Evaluate cognition documentation to ensure CDPAP eligibility meets regulatory requirements Review medications for appropriate frequency and consistency with diagnoses Review quality selections and previous assessments Review chart documentation to ensure consistency with assessment selections Verify documentation of member education and distribution of health-related materials Ensure functional and community nodes are consistent Verify required documentation for service reviews and home status Review diagnoses and supporting documentation Utilize appropriate review tools to evaluate assessment responses Provide training and guidance to staff regarding UAS documentation and quality standards Requirements Active NYS Registered Professional Nurse (RN) license Minimum 2 years of nursing experience preferred Home Care or Managed Care experience strongly preferred Strong knowledge of UAS documentation and assessment processes Excellent attention to detail and ability to identify documentation discrepancies Strong understanding of regulatory and compliance requirements Why Consider This Opportunity? If you're an NYS RN with UAS, home care, managed care, or assessment experience, this is an opportunity to transition into a role focused on quality, compliance, documentation review, and staff support — while working primarily from home. #J-18808-Ljbffr Green Key Resources