Location: Rochester,NY, USA
* THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS (restrictions may apply) *
The Assessment, Registered Nurse (ARN) is responsible for assessing prospective enrollees and active health plan members to determine potential care needs and plan eligibility.
Performance Responsibilities and Standards:
* Conducts virtual or in-person visits with potential enrollees and active members of the health plan as assigned.
* Provides a comprehensive overview of program benefits to applicants, their family members, and caregivers.
* Educates consumers and members on their rights, responsibilities, and the services offered by Nascentia Health Options.
* Interviews members, family members, or significant others identified through case findings to assess their service needs.
* Reviews the member handbook, provider directory, and covered services during the visit.
* Evaluates and reviews previous assessment information.
* Performs all assessment activities in compliance with regulatory agency requirements, completing necessary documentation and developing initial or updated care plans.
* Assists in identifying unmet needs and creating person-centered service plans to address them.
* Communicates effectively with potential members, their families, care management staff, and providers.
* Collaborates with the healthcare team to address potential enrollees' needs.
* Gathers information on eligibility, benefit coverage, and benefit coordination.
* Ensures accurate completion of all required documentation in the health plan's electronic medical record (EMR) and quality review programs.
* Participates in departmental meetings, as well as scheduled staff meetings and applicable training sessions.
* Adheres to all state and federal privacy regulations, including HIPAA, and Nascentia Health Options policies regarding confidentiality, privacy, and security.
* Maintains accurate scheduling information.
* Acts as a community liaison for the health plan.
* Other duties as assigned.
Requirements:
* Nursing: Possession of a current Registered Professional Nurse license in New York State is required. A Bachelor of Science in Nursing (BSN) is preferred, while an associate degree is mandatory. Previous nursing experience of one year is preferred.
* Previous experience in long-term care and/or managed care settings is a plus.
* Knowledge of homecare, Medicare, and Medicaid is beneficial.
* Bilingual skills are a plus.
* Demonstrated ability to work independently and effectively manage workload priorities.
* Proficient in computer usage with a working knowledge of basic computer skills and Microsoft Office applications.
* Excellent interpersonal, virtual, and telephonic communication abilities.
* Valid New York State drivers license and ability to drive in all types of weather.
* Aptitude to comprehend and utilize the organization's software systems to execute job responsibilities.
Physical Requirements:
* The role is to work from home with the requirement to visit health plan members in their homes. Attendance of in-office work and meetings may be required.
* Standard postures include Standing, sitting, bending, walking, and driving (frequently entering and exiting vehicles throughout the day).
* Frequently uses a laptop computer to enter orders and obtain product information.
* Sensory requirements include speech, vision, smell, and hearing.
* Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally
* Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
Compensation & Benefits:
Competitive Salary [This position is an per visit position with a min-max rate of: $25.00- 265.00/per visit] with:
* $15,000 sign-on bonus (restrictions may apply)
* Retention bonuses
* 401k with generous Employer match
* Medical, Dental, Vision plans
* Tuition Reimbursement for BSN after 6 months of employment
* Exceptional work/life balance - no rotating shifts, holidays or weekends
* Partially funded HSA
* Employee Recognition Platform
* Paid Time Off, Holidays, and Extended Sick Leave
* Short/Long term Disability
* Employee Assistance Program (EAP)
* Much More!
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About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
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Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen