UAS Assessor - Sr Care Manager - RN

Job description

ESSENTIAL FUNCTIONS: · Complete UAS Initial and/or Reassessment documentation, enrollment paperwork, and taking tool in the consumer's home. · Attend training and continuing education sessions and lessons focused on the proper completion of UAS documentation, enrollment paperwork, and taking the tool. · Focus on continuous improvement and quality excellence in the completion of all material associated with the initial enrollment/continued enrollment of consumers as members in the plan. · Supports initiatives of the Quality Assessment and Performance Improvement Committee. · All other duties as assigned. Requirements/Certifications: · The hiring manager is looking for English ONLY candidates. · UAS Assessor experience is a MUST! · This is a traveling position at a rate of $.54/mile. · The selected candidates will travel to Brooklyn, Queens, The Bronx, Manhattan, and West Chester. · On very few occasions, the candidate may have to travel between two cities on one day, but that is not likely. · The position is M-F with the typical hours of 9 am - 5 pm; however, there is some flexibility with the hours. · Minimum 5 years clinical experience with a focus in managed care, including behavioral health disease or case management. · Care Management\RN - Registered Nurse, State and/or Compact State Licensure. · Understands and is able to apply principals of Care Management and Person Centered Service Planning. · Is able to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines. · Is able to understand and apply coverage guidelines and benefit limitations. · Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses (depression, challenging behaviors, Alzheimer's disease and other disease-related dementias). · Understands and adapts appropriately to issues related to communication, cognitive or other barriers. UAS Assessor experience is a MUST! Registered Nurse TITLE: UAS ASSESSOR – SR. CARE MANAGER – RN (ENGLISH SPEAKING ONLY). LOCATION: BROOKLYN, NY 11201. DURATION: 6+ MONTHS (POSSIBLILY EXTENTION) TIMINGS: 9 AM TO 5 PM (HOWEVER THERE IS SOME FLEXIBILITY WITH THE HOURS.) UAS ASSESSOR EXPERIENCE IS A MUST! THE HIRING MANAGER IS LOOKING FOR ENGLISH ONLY CANDIDATES NOTE:- · This is a traveling position at a rate of $.54/mile. The selected candidates will travel to Brooklyn, Queens, The Bronx, Manhattan, and West Chester. · On very few occasions, the candidate may have to travel between two cities on one day, but that is not likely. The position is M-F with the typical hours of 9 am - 5 pm; however, there is some flexibility with the hours. Description: · Responsible for the completion of UAS Initial Assessments and Reassessments based on NY State requirements and guidelines and training provided by Client and/or outside resources. · Enrollment paperwork materials required to appropriately process consumer's application for enrollment. · UAS Tasking Tool based on guidelines and training provider by Client and/or outside resources. · Responsible for correction and revision of UAS, paperwork, and taking tool documentation based on review and feedback provided through quality and associated review processes.