Travel Nurse RN - Home Health in New York City, NY
: Job Details :

**Job Title:** Registered Nurse (RN)**Job Specialty:** Home Health**Job Duration:** 260 days**Shift:** Day - 5x8 - 9 am to 5 pm, 40 hours per week**Guaranteed Hours:** Not specified**Experience:** Two years of experience in a home setting within the last 15 years; recent experience conducting comprehensive assessments of patients**License:** Current RN License in New York State**Certifications:** Basic Life Support (BLS) required before the start date**Must-Have:** Ability to perform hybrid tele and in-field assessments; candidates must not be conducting Unified Assessment System (UAS) assessment assignments elsewhere and must sign the conflict of interest form before starting.**Job Description:**- Perform initial in-home pre-evaluation of patients, assessing 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 electronic forms and transmit as required.- Document any concerns, conflicting information, or other issues surfaced 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 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 annual performance criteria and bonus template.- Perform other duties as assigned by the Regional Nurse Manager or other project management.