About The Position

FlexStaff is seeking a Registered Nurse with UAS assessment experience to work for an external nonprofit client providing home healthcare services to elderly, disabled, and chronically ill people in the New York metropolitan area. The area of responsibility is Brooklyn and Lower Manhattan, although the posting also lists the work location as Bronx, NY. The role conducts in-home clinical assessments, including clinical onboarding and reassessments, UAS-NY completion, comprehensive assessments, medication reviews, and post-hospital discharge evaluations. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with a one-hour lunch and 37.5 weekly hours. The position is a temporary contract with potential for permanent hire. The listed pay rate is $69 per hour.

Requirements

  • Degree from an NLN-accredited nursing school (RN, BSN required), or at least five years of experience in a healthcare setting.
  • Current, active, unrestricted New York State Registered Nurse license and registration.
  • At least two years of experience in long-term home healthcare (LHCSA).
  • Able to work some weekends and travel across boroughs.

Responsibilities

  • Coordinate with intake, enrollment, and care delivery teams regarding in-home or virtual assessment appointments with prospective or enrolled participants, using UAS-NY; answer questions about the PACE program and explain its benefits.
  • Conduct in-home UAS-NY assessments for PACE participants to determine initial or continued plan eligibility in accordance with Community Based Long Term Care requirements.
  • Maintain a schedule of two to three UAS-NY assessments per day as needed.
  • Document changes accurately in the EMR, including narrative comments and supporting documentation, and escalate significant changes to Care Delivery.
  • Review and update primary diagnoses and medications at key intervals to align the EMR and UAS; adjust codes and medication lists as needed and escalate issues.
  • Promote and educate referral sources about the PACE program as needed.
  • Educate potential and new PACE participants about plan benefits, services, and the care delivery model.
  • Escalate assessment questions and concerns to the quality review team to support accurate UAS-NY completion and timely intervention for on-site issues.
  • Complete or reassess the PCAT Tasking Tool to determine appropriate ADL/IADL home assistance, recommend modifications, and escalate as needed.
  • Develop proposed service plans and obtain required documentation during home visits.
  • Use the Lenavi analyzer during reviews and assessments.
  • Document all interactions and outcomes in the clinical or electronic record system.
  • Complete assessments, notes, service plans, and documentation within 48 hours.
  • Collaborate with the quality review team to ensure accuracy and completeness in the Health Commerce System and EMR.
  • Maintain knowledge of applicable CMS/PACE guidelines and organizational policies, and ensure timely completion and documentation of UAS-NY.
  • Remain responsive and available by phone and email.
  • Provide key clinical information to Care Delivery before enrollment to support smooth transitions for participants with complex conditions.
  • Partner with Care Delivery and the IDT to share updates, address concerns, and improve processes.
  • Serve as the clinical point person for post-enrollment questions or issues.
  • Participate in continuous quality improvement to enhance staff performance and outcomes.
  • Advise on operational improvements involving turnaround, scheduling, cost efficiencies, engagement, and reporting.
  • Review key performance metrics to improve workflow and quality.
  • Perform other duties as assigned.
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