The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members’ enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst’s long term care plans such as CompleteCare and Senior Health Partners. Duties and Responsibilities: Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually Completes assessment of service needs per CMT and member's family/caregiver’s request to determine service needs or any necessary adjustments Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission Conducts in-person Care Management visits in support of person-centered service planning Liaisons between the member and the CMT; assesses home environment and psychosocial status Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan Additional duties as assigned
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Job Type
Full-time
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees