UAS Assessor Sr. Care Manager

divh2UAS Assessor Sr. Care Manager/h2pThis is a traveling position. The candidates will travel to Brooklyn, Queens, The Bronx, Manhattan, and West Chester. On very few occasions, the candidate may have to travel between two cities on one day, but that is not likely. The position is M-F with the typical hours of 9am - 5pm; however there is some flexibility with the hours./ppResponsibilities:/pulliUAS Initial Assessments and Reassessments based on NY State requirements and guidelines and training provided./liliEnrollment paperwork materials required to appropriately process consumers application for enrollment./liliUAS Tasking Tool based on guidelines and training./liliResponsible for correction and revision of UAS, paperwork, and tasking tool documentation based on review and feedback provided through quality and associated review processes./li/ulpEssential Functions:/pulliComplete UAS Initial and/or Reassessment documentation, enrollment paperwork, and tasking tool in the consumers home./liliAttend training and continuing education sessions and lessons focused on the proper completion of UAS documentation, enrollment paperwork, and tasking tool./liliFocus on continuous improvement and quality excellence in the completion of all material associated with the initial enrollment/continued enrollment of consumers as members in the plan./liliSupports initiatives of the Quality Assessment and Performance Improvement Committee./li/ulpQualifications:/pulliUAS Assessor experience is a MUST!!!/liliMinimum 5 years clinical experience with focus in managed care, including behavioral health disease or case management./liliCare Mgmt.RN - Registered Nurse, State and/or Compact State Licensure./liliBilingual in Spanish./liliUnderstands and is able to apply principals of Care Management and Person Centered Service Planning/liliIs able to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines./liliIs able to understand and apply coverage guidelines and benefit limitations./liliFamiliar with clinical needs and disease processes for chronic physical and behavioral illnesses (depression, challenging behaviors, Alzheimers disease and other disease-related dementias)./li/ulpAdditional Information:/ppAll your information will be kept confidential according to EEO guidelines./p/div

Careers Integrated Resources Inc