UAS RN Reviewer

Village Care•New York, NY

1d•Remote

About The Position

Join VillageCare as a Full Time UAS RN Reviewer and elevate your nursing career in an innovative, fully remote environment! This role offers the chance to apply your expertise in a customer-focused healthcare setting while being a crucial part of a dynamic, forward-thinking team. With a competitive salary ranging from $87,647.11 to $98,603.00, you'll find the satisfaction of enhancing patient care from the comfort of your own home. Embrace the flexibility of a remote position that fosters high performance and integrity in everything we do. Bring your problem-solving skills and commitment to excellence to a role that truly makes a difference in people's lives. Must reside within the New York Tri-State Area - NY, NJ, or CT. You can get great benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Step into a fulfilling career with VillageCare, where your contributions have a meaningful impact on health care delivery today! VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

Requirements

Strong analytical abilities are crucial for performing quality assurance reviews conducted by Nurse Assessors, ensuring accuracy and completeness in all UAS-NY documentation.
Must possess attention to detail to review community, functional, and mental health assessments for consistency and appropriateness of care.
Utilizing the QCSS Assessment Analyzer is essential for maintaining assessment quality and staying informed on current trends related to quality measures and risk scores.
Effective communication skills are key for collaborating with Nurse Assessors, facilitating requested revisions, and providing guidance based on members' clinical needs.
Must reside within the New York Tri-State Area - NY, NJ, or CT.

Responsibilities

Performs Quality Assurance reviews completed by the Nurse Assessors
Reviews completed UAS-NY for accuracy, completeness and timeliness of finalization
Reviews all documentation for appropriateness of care and consistency of documentation
Review of all responses and comments in community, functional and mental health assessments for consistency
Utilizes QAS reports to maintain knowledge of current trends related to quality measures and risk score
Reviews proposed plan of care/ATSP to ensure that it reflects the clinical and psychosocial needs of the member
Communicates with the Nurse Assessor for requested revisions and clarification in order to finalize assessment
Follows up to ensure timely completion of assignments and submission of original paperwork to the office
Provides guidance and training to the Nurse Assessors related to accurate completion of the UAS-NY
Monitor finalization of UAS-NY in order to ensure adherence with State policy
Collaborates with Care Management in order to ensure plan of care is in alignment with the needs of the member