TITLE: UAS ASSESSOR – SR. CARE MANAGER – RN (ENGLISH SPEAKING ONLY).
LOCATION: BROOKLYN, NY 11201.
DURATION: 6+ MONTHS (POSSIBLY EXTENSION).
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 provided 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.
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.
- Support 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 principles 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.
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