Nurse Assessor (RN) - Hybrid Remote

About the position Maximus is currently hiring hybrid remote Registered Nurse Assessors for the New York Independent Assessor Program, conducting UAS assessments to determine eligibility for community-based long-term services. The role demands robust qualifications and a dedication to ensuring accurate assessments in telehealth or in-home settings. If you're a proficient Registered Nurse with a minimum of two (2) years of recent experience in a home environment within the past fifteen (15) years, this could involve working with a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), Managed Long Term Care (MLTC), or experience in home care as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing, we invite you to submit your application! Get ready for an exhilarating package of perks! A generous salary ranging from $95,000 to $100,000, tailored to your experience. Top-notch health benefits and a robust 401k plan that'll have you covered. Embrace the freedom to work from the comfort of your home office whenever possible. Experience the gratification of directly impacting the lives of New York residents, enhancing their quality of living through the groundbreaking NYIAP program. This role is dynamic and hybrid, centered around the vibrant Bronx area in the heart of New York City. You'll be diving into consumer homes and conducting assessments through cutting-edge telehealth methods, making every day a thrilling adventure.

Responsibilities

• Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.

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• Render medical necessity determinations for cases assigned.

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• Resolve all other technical issues within reconsideration assigned.

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• Review cases or sites assigned to determine and summarize facts and assess any issues identified.

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• Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.

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• Perform other duties as assigned by management.

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• Perform initial assessments of consumers that includes evaluation of health status, functional status, strengths, care needs, and preferences.

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• Review consumer medical documentation and or health referral forms, as relevant to the case.

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• Enter assessment data into the UAS-NY online application and transmit, as required.

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• Code the UAS assessment correctly based on training and guidelines in the UAS-NY Community Health Assessment Reference Manual.

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• Document outcomes of calls to consumers and scheduled appointments.

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• Maintain current knowledge of regulatory and project changes pertaining to quality and validity of assessments.

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• Enhance communication and collaborative relationships with leadership and interdisciplinary care team members to facilitate receipt of services.

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• Review non-qualified assessments with the Clinical Quality Assurance Department.

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• Maintain a comprehensive working knowledge of community resources, and network services for target population.

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• Perform other duties as may be assigned by the Regional Nurse Manager or other project management.

Requirements

• Active RN license required.

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• Minimum 2 years clinical experience required with RN license.

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• Minimum of 2 years' home setting experience, including work with CHHAs, LHCAs, MLTC, or as a paraprofessional (e.g., HHA, LPN and/or Private Duty Nursing).

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• Active and valid RN license in the state of New York.

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• Travel ability within assigned region, including to consumer homes.

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• Active and valid New York State Driver's License or ID.

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• Ability to conduct in-home health assessments throughout assigned region.

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• Proficiency in navigating web-based applications, Microsoft Outlook & Word, and conducting assessments via Zoom.

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• Knowledge of nursing theory, state, and agency regulations.

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• Strong organizational, interpersonal, and communication skills.

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• Ability to work with multi-generational consumers, demonstrate sensitivity, and perform in a fast-paced environment.

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• Capability to manage multiple complex tasks and work independently.

Nice-to-haves

Benefits

• Generous salary ranging from $95,000 to $100,000.

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• Top-notch health benefits.

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• Robust 401k plan.

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• Ability to work from home office whenever possible.

Apply Job!