Duration: 12 months contract Extension up to 5 years
(Hybrid – 2 DAYS REMOTE & 3 DAYS In-Person)

Training: 1 – Month Remote
Shift: Day Shift – 8:30 AM – 5 PM
8-hour shift/per day

Note: We also have openings in Albany / Columbia / Fulton / Greene / Saratoga / Schenectady / Washington

Responsibilities:

• Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long-term care service plans
• Review consumer medical documentation and or health referral forms, as relevant to the case
• Enter evaluation data into electronic evaluation form and transmit, as required
• Document any concerns, conflicting information, or other issues that surface during the evaluation process
• Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
• Discuss with the consumer on health care options, supports needed, service vendor options, and waiver options
• Initiate communication between the Call Centre and eligible consumers for enrolment 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 target population
• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
• Performs other duties as may be assigned by the Regional Nurse Manager or other project management.

Qualification:

Two (2) years of experience in a HOME setting within the last ten (10) years; this may include:

• Working in the field for a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), or Managed Long-Term Care (MLTC)
• Conducting assessments that are similar to the UAS such as OASIS
• Providing primary care to homebound persons
• Care management for persons receiving home and community-based services including Hospice and Assisted Living
• Home care experience as a paraprofessional (e.g., Home Health Aide) or Licensed Practical Nurse

Experience conducting assessments in UAS-NY (role 40 or 45), especially in the last 365 days

• Experience caring for a geriatric population and managing their chronic diseases, especially in the home setting

Home care experience with only one patient (i.e., private duty nursing)

• Case management that is limited to utilization reviews for a health plan or a combination of hospital and health plan case management
• Assessments that were all conducted telephonically and did not involve going into the home

Certification/Licenses:

• BLS
• Active RN License in NY

#Nurse

Job Type: Contract

Pay: $52.00 - $56.00 per hour

Standard shift:

• Day shift

Experience:

• Home health: 2 years (Preferred)

License/Certification:

• BLS Certification (Required)
• RN License in NY (Required)

Work Location: In person