Intake RN

JOB SUMMARY:   The Intake RN is responsible for conducting UAS-NY assessments, determining when individuals are appropriate for membership and developing plans of cares for prospective CPHL members. Intake RNs must complete full productivity and submit all paperwork in a timely fashion. This position is also responsible for explaining managed long term care benefits and services to prospects. The Intake RN will be in constant communication with their Intake RN Supervisor as well as Intake UAS reviewers to ensure that documentation is being completed properly.   PRIMARY RESPONSIBILITIES: Assesses prospects via telehealth, completing a comprehensive assessment (UASNY) to determine eligibility and initial plan of care Develops plans of cares for prospects using NYIA’s assessments Effectively completes the required assessment form (UASNY) and other CPHL necessary documents within the required timeframes and in accordance with CHPL established policies and procedures and State and Federal guidelines and regulations. Communicates plan benefits clearly and easily to prospects and referral sources Completes and submits thorough and high-quality documentation in a timely manner Appropriately alerts Supervisors regarding any issues encountered during an assessment Recognizes quality of care issues and escalates issues appropriately, communicating effectively with coordinators and supervisors as needed Complies with all CPHL’s standards for documentation. Maintains member confidentiality and compliance with HIPAA requirement. Participates in regularly scheduled and other staff meetings as requested Participates in quality improvement initiatives Other duties as assigned EDUCATION AND EXPERIENCE:   Education Required: Registered Nursing License   Type of Experience  Preferred: Overall understanding of community-based care programs Specific Technical Skills   Preferred: Case Trakker, SalesForce, Excel, Power Point, Word   Certifications/Licensure: Required: Registered Nursing License   Knowledge and Skills:  Solid clinical judgment and ability to problem solve in real-time Knowledge of MLTCP regulations Works well with various personalities and work styles Ability to manage multiple tasks simultaneously and meets deadlines Ability to communicate clearly, educate prospects, and take ownership of assigned work PHYSICAL REQUIREMENTS: The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to operate office equipment including a computer and phones Able to communicate both in person and by phone The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.