RN - Home Health

RN - Home Health

Required Licensure: Current RN Licensure in New York State

Required Experience: Two (2) years of experience in a HOME setting within the last fifteen (15) years. At a minimum, nurses must have recent experience conducting comprehensive assessments of patients.

Qualification Description: Required: All nurse assessors MUST meet the following requirements: Two (2) years of experience in a HOME setting within the last ten (10) years; this may include: Working in the field for a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), or Managed Long-Term Care (MLTC) Conducting assessments that are similar to the UAS such as OASIS Providing primary care to homebound persons Care management for persons receiving home and community-based services including Hospice and Assisted Living Home care experience as a paraprofessional (e.g., Home Health Aide) or Licensed Practical Nurse caring for a minimum of 2 patients per week

Preferred: In addition to meeting the required qualifications, the additional experience represents the gold standard candidate for this position Experience conducting assessments in UAS-NY (role 40 or 45), especially in the last 365 days Experience caring for a geriatric population and managing their chronic diseases, especially in the home setting.

Job Summary: Ability to review health status questions and make evaluations and determinations based on UAS 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.

Job Responsibilities:

• Perform 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
• Review consumer medical documentation and or health referral forms, as relevant to the case
• Enter evaluation data into electronic evaluation form and transmit, as required
• Document any concerns, conflicting information, other issues that surface during the evaluation process
• Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
• Discuss with consumer on health care options, supports needed, service vendor options and waiver options
• Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
• Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery
• Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM
• Identify opportunities for health promotion and illness prevention
• Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
• Performs other duties as may be assigned by the Regional Nurse Manager or other project management.