Location: Brooklyn,NY, USA
Job Title: Registered Nurse (RN) Job Specialty: Home Health Job Duration: 260 Days Shift: Day - 5x8 - 9am - 5pm, 40 Hours per Week Guaranteed Hours: Not specified Experience: Two (2) years of experience in a home health setting within the last fifteen (15) years. Recent experience conducting comprehensive assessments of patients is required. License: Current RN Licensure in New York State Certifications: Basic Life Support (BLS) required before the start date Must-Have: Ability to conduct hybrid tele and in-field assessments. Candidates must not perform UAS assessment assignments elsewhere and need to sign a Conflict of Interest (COI) form before the start. Job Description: - Perform initial in-home pre-evaluation of patients, including evaluation of health status, strengths, care needs, and preferences to guide the development of individualized long-term care service plans.- Review consumer medical documentation and health referral forms as relevant to the case.- Enter evaluation data into an electronic evaluation form and transmit it as required.- Document any concerns, conflicting information, or other issues that surface during the evaluation process.- Emphasize continuity of care to reduce or eliminate fragmentation, duplication, and gaps in treatment plans.- Discuss healthcare options, supports needed, service vendor options, and waiver options with consumers.- Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan.- Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery.- Collect quality review data and any required documentation to support outcome measurements and record case notes into the CRM.- Identify opportunities for health promotion and illness prevention.- Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for the target population.- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template.- Perform other duties as may be assigned by the Regional Nurse Manager or other project management. General Comments: Candidates must provide all required information such as aliases used, current and previous addresses, and current phone numbers/emails.