Staff Nurse

City of New York • New York City, NY

1d • Hybrid

About The Position

The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs for the City of New York. Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found to be eligible can use coverage provided to access doctors, medication, and other health care services at little or no cost. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long-term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long-Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program, and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long-term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs. Home Care Services Program (HCSP) is recruiting one (1) Staff Nurse, to function as a Staff Nurse in HCSP/ CASA North Unit.

Requirements

• A valid New York State Registered Nurse License.

Responsibilities

• Conduct in-home or virtual assessments at the request of HRA using a State approved assessment instrument to evaluate the client’s ability to safely perform activities of daily living and the degree to which the client requires assistance for each function and task. The completed assessment would be entered into the New York State Department of Health (NYSDOH) and/or HRA computer system.
• Assist in determining the level of home care services or other services of care that the client needs based on the medical diagnosis and degree of functional impairment. The development of a plan of care that takes into consideration client’s home environment and social support system.
• Complete in-home and virtual visits and submit the completed HRA/NYSDOH approved assessments and recommendations forms no later than five (5) workdays after the date of assignment.
• Conduct case reviews of new applicants, service change and re-authorization cases, and participate in special projects. The reviews consist of screening all documents related to the request for service and may include contacting the client’s physician or other resources for additional medical documentation and information as necessary.
• Develop a plan of care for the type and amount of home care services to be provided to the client after reviewing all required case documentation.
• Prepare documentation for and testify at Fair Hearings and at other legal proceedings to explain clinical findings and determinations regarding the plan of care.
• Provide consultation to HRA Medical Review Team and social service staff at HRA’s request.
• Complete self-audits of State approved assessments and medical review of charts.
• Work toward obtaining PRI/screen certification and conduct assessments of clients transitioning to a Nursing Home Facility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level