Assessment Nurse ( Bronx Coverage)

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.Position OverviewMeets with applicant, family, and caregiver in person to determine if MLTC program applicants meet the clinical qualifications for enrollment. (i.e., UAS score 5 or greater, needing 120 days of care, safe in-home environment).Meets with member, family, and caregiver in person to conduct the UAS tool for MLTC program enrollees or prospective enrollees.Documents outreach attempts in care management data system.(i.e. Bookings platform)Conducts a minimum of 13 UAS assessments on a weekly basis which may include initials, significant change in condition, return assessments and/or semi-annual/re- assessments; at least 60% of them should be in-person.Extracts information from the member as well as from other sources such as DCMS and other quality reports as needed to complete the UAS.Conducts "pop-up/drive-by" visits for members/applicants who are unable to reach via phone or family member; these visits are scheduled around the expected minimum UAS assessment per week and will not change the completion rate expectations.Completes the Task Based Tool from the Lenavi, and after clinical review the Assessment Nurse shares potential hours and services with applicant and family.Discusses other options for applicants that do not meet the clinical qualifications for the MLTCP.Reviews handbook and enrollment documents with applicants who meet the criteria for enrollment in the MLTCP. ARNS will obtain electronic signatures for all new enrollment visits they conduct. And will respond to questions and obtain wet or electronic signature on all necessary documents.Reviews findings of assessments with Team Lead after interview with applicant and family member.Conducts reassessments in-person of member pursuant to schedule and in cases when Care Manager request re-assessment due to change in condition of the member.Participates in MetroPlusHealth quality management activities related to MLTC as needed.Provides information to the MLTC management teamsPerforms other tasks assigned by the MLTC management teamsMinimum QualificationsBachelor's Degree from an accredited college or university in Nursing or related health care field is required.A minimum of two (2) years of clinical experience in Certified Home Health Agency (CHHA), Lombardi program, and/or MLTC experience required.Licensure and/or Certification Required:Valid New York State license and current registration to practice as a Registered Professional Nurse issued by the New York State Education Department (NYSED) is required.UAS Certified Registered Professional Nurse requiredProfessional CompetenciesIntegrity and TrustCustomer Service FocusBasic working knowledge of computer systems.Excellent communication, written and analytical skills