Job Title : Registered Nurse (RN) - Home Health Assessor
Job Specialty : Home Health
Job Duration : 260 Days
Shift : Day - 5x8 - 9 am - 5 pm, 40 Hours / Week
Guaranteed Hours : N / A
Experience : Minimum of two years in a home setting within the last ten years
License : Current RN Licensure in New York State
Certifications : BLS (Basic Life Support) required before the start date
Must-Have :
- Experience in a home health setting
- Proficiency in conducting comprehensive patient assessments
- Comfortable performing hybrid telephonic and in-field assessments
- Ability to sign a COI form upon start
- Strong organizational and communication skills
- Ability to work independently and within a team
Job Description :
- Perform initial in-home pre-evaluation of patients, assessing health status, strengths, care needs, and preferences to guide long-term care service plans
- Review consumer medical documentation and health referral forms relevant to the case
- Enter evaluation data into an electronic form and transmit as required
- Document any concerns, conflicting information, or issues that arise during the evaluation process
- Support continuity of care, minimizing fragmentation, duplication, and gaps in treatment plans
- Discuss health care options, required supports, and service vendor options with consumers
- Coordinate with the Call Center and eligible consumers for enrollment into a managed care health plan
- Foster communication and collaboration with interdisciplinary care team members to enhance care coordination and service delivery
- Collect quality review data and necessary 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 the target population
- Meet all performance standards as outlined in corresponding annual criteria and bonus templates
- Perform other duties as assigned by the Regional Nurse Manager or project management
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