Field RN Case Manager

Job Description

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n Job Posting Title n

n Field Registered Nurse Assessor (Bronx, NY) n

n Date n

n Monday, August 26, 2024 n

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n Bronx n

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n NY n

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n United States n

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n Full-time n

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n Field Registered Nurse Assessor (Bronx, NY)

Location - Bronx, New York

Yearly Base Pay - $107,000-$118,000

Schedule - Full time schedule available, with hybrid remote work setting

Delivering Care, Managing Assessments, Supporting Every Patient!

Are you passionate about making a difference in people’s lives and providing quality care to New York’s most vulnerable residents?

Maximus is seeking Field Registered Nurse Assessors to join our team.

About the role :

Maximus is currently seeking Field Nurse Assessors to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the New York Independent Assessor Program (NYIAP).

The program serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.

NYIAP Nurse Assessors conduct conflict-free assessments of these individuals using the Community Health Assessment tool to determine whether they qualify for these services.

In this role, the Field Nurse Assessor will have the opportunity to assist the clinical leadership team with conducting home assessments in the Bronx.

This position will support the Bronx with surges in demand. The position requires attending and conducting assessments in consumer homes, facilities, or through a telehealth modality, depending on operational need.

Key Responsibilities :

• Travel : Clustered field visits limited to one borough or geographical area
• Assessments : Perform in-home, in-facility, or telehealth assessments that includes evaluation of individual’s health status, strengths, care needs, and preferences using the UAS-NY assessment tool within the prescribed timeframes of the assessments.
• Partnership : Establish and maintain positive relationships with consumers, caregivers, and facility staff.
• Accuracy : Regularly review medical documentation, reporting any concerns, conflicting information, or issues that may arise during the evaluation process.

What we offer :

At Maximus, we believe in the power of teamwork and mutual success. Our benefits reflect this philosophy by supporting your physical health, financial wellbeing, and work / life balance, ensuring your equipped for all the moments that matter.

• Competitive Health Benefits
• 401K With Company Match
• Paid Accrued Sick Leave and 11 paid Holidays
• Employee Assistance Program (EAP)
• Employee Wellness and Discount Programs
• Career Development and Promotional Opportunities

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Essential Duties and Responsibilities :

• Serve as the lead content knowledge expert concerning the review and research of provided clinical information.
• Perform clinical case reviews and consultations
• Provide direct supervision to assigned team of nursing and / or other clinical staff
• Provide subject matter expertise related to medical necessity and level of care criteria and application thereof
• Provides education and clinical training to staff in area of expertise
• Performs other related duties as assigned.

n -Enter assessment data into the UAS-NY online application and transmit, as required.

• Code the UAS assessment correctly based on training and guidelines in the UAS-NY Community Health Assessment Reference Manual.
• Review non-qualified assessments with the Clinical Quality Assurance Department.
• Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population.
• Maintain updated knowledge of the UAS-NY assessment process.
• Review consumer medical documentation and / or health referral forms, as relevant to the case.
• Document any concerns, conflicting information, other issues that surface during the evaluation process.
• Perform other duties as many be assigned by the Senior Manager or other project management.

n Minimum Requirements n

• Current Registered Nurse (RN) license valid in the state of practice is required
• Bachelor's degree and 5 years of experience or equivalent combination of education and experience required
• Minimum of 5 years of clinical experience
• Minimum 1 year supervisory experience preferred
4 days ago