Uniform System Assessor Nurse (RN) - must be licensed in the state of NY

Job Summary: Provides support for the completion of the Community Health Assessment (CHA) - formerly the UAS (Uniform Assessment System), initial assessments and reassessments based on New York state requirements, guidelines, and training provided by the company and/or outside resources. Completes enrollment paperwork materials required to appropriately process member applications for enrollment and CHA tasking tool in alignment with guidelines and training provided by the company and/or outside resources. Facilitates correction and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality/review process. This position is member facing and requires visits to members at their home or facility.

Job Qualifications: Required Qualification:

• At least two years of clinical experience in managed care - including case management and home visit experience, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Must reside in the state of New York or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID.
• Trained and knowledgeable in the New York Uniform Assessment System (UAS).
• Must be able to travel to multiple boroughs via car or commuting public transportation.
• Understands and applies principles of care management and person-centered planning.
• Solid assessment skills.
• Understands and applies coverage guidelines and benefit limitations.
• Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses.
• Understands and adapts appropriately to issues related to member communication, cognitive or other barriers.
• Organizational skills, and ability to prioritize and follow through on multiple projects in a timely manner.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency. Preferred Qualification:
• Certified Case Manager (CCM) or Chronic Care Professional (CCP).
• Home care or long-term care experience.
• Community support service experience accessing and using durable medical equipment (DME).
• Experience in utilization review, concurrent review and/or risk management.
• Bilingual or multi-lingual.
• Ability to commute as needed to meet with members in person at their home or facility.

Pay Range: $24 - $56.17 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.