(RN)Uniform System Assessor Nurse (NYC Local Travel Required)

Molina Healthcare • Bronx, NY • 1h ago

Job Description

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.

Job Duties

Completes approved New York State initial assessment tool and/or clinical reassessment used to define eligibility for community-based long-term care services for members.

Completes enrollment paperwork, progress notes and tasking tool in member homes to assist in determining eligibility for services; reviews all data collected for accuracy and completion prior to submission.

Charts all contacts and findings within appropriate tool and form per policy and procedure and within established deadlines.

Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking tool.

Focuses on continuous improvement and quality excellence in the completion of all materials associated with the initial enrollment/continued enrollment of members in the plan.

Supports initiatives of the quality assessment and performance improvement committee.

25- 40% estimated local travel may be required (based upon state/contractual requirements).

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 (NY).

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 in Chinese (Mandarin or Cantonese), or Spanish.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $24 - $56.17 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Spinal Cord Injury Staff Nurse

Veterans Affairs, Veterans Health Administration • East Orange, NJ • 1h ago

Hospital & Medical

Summary The Spinal Cord Injury unit at the East Orange, NJ VA Medical Center is hiring for a night shift staff nurse. The Inpatient Staff Registered Nurse (RN) delivers fundamental knowledge-based care to assigned client...

1h ago

Go to Apply

Medical Support Assistant (Advanced)

Veterans Affairs, Veterans Health Administration • East Orange, NJ • 1h ago

Hospital & Medical

Summary The East Orange New Jersey VA Medical Center is currently recruiting for one Medical Support Assistant (Advanced) Ambulatory Care Outpatient Clinic within HAS. The Advanced Medical Support Assistant (AMSA) GS-6 c...

1h ago

Go to Apply

Intermittent Registered Nurse - Dialysis

Veterans Affairs, Veterans Health Administration • East Orange, NJ • 1h ago

Hospital & Medical

Summary VA New Jersey Health Care System is currently recruiting one (1) Intermittent Registered Nurse - Dialysis for the East Orange Campus. The Registered Nurse (RN) demonstrates integration of biopsychosocial concepts...

1h ago

Go to Apply

(RN)Uniform System Assessor Nurse (NYC Local Travel Required)

Molina Healthcare • New York, NY • 1h ago

Hospital & Medical

Job Description 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 requi...

1h ago

Go to Apply

Health Industry - Payor Compliance, Manager

PwC • New York, NY • 1h ago

Hospital & Medical

Specialty/Competency: Conduct and Compliance Industry/Sector: Pharma and Life Sciences Time Type: Full time Travel Requirements: Up to 60% At PwC, our people in risk and compliance focus on maintaining regulatory complia...

1h ago

Go to Apply

Registered Nurse

AHRC Nassau • Plainview, NY • 2h ago

Hospital & Medical

To provide nursing oversight to people that attend the Day Habilitation program, and support and guidance to the staff. Responsibilities Primary duties and responsibilities include but not limited to: Provides medical ov...

2h ago

Go to Apply

(RN) Registered Nurse

Fine Care Center • Mineola, NY • 2h ago

Hospital & Medical

YOUR FUTURE STARTS NOW! Are you a Registered Nurse looking for a great career opportunity, or a new RN looking to gain invaluable experience? Join the Fine Care Center family! With competitive wages, flexible scheduling,...

2h ago

Go to Apply

(RN) Registered Nurse

Fine Care Center • Great Neck, NY • 2h ago

Hospital & Medical

2h ago

Go to Apply

RN, Registered Nurse

BAYADA Home Health Care • Spring Valley, NY • 2h ago

Hospital & Medical

Come for the Flexibility, Stay for the Culture ( https://www.bayada.com/the-bayada-way.asp ) Find flexibility & balance - take control of your career, your schedule, and your future with BAYADA Home Health Care! BAYA...

2h ago

Go to Apply

(RN) Registered Nurse

Fine Care Center • Hempstead, NY • 2h ago

Hospital & Medical

2h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)