Healthcare & Medical
Nascentia Health Hiring for MLTC Assessment Nurse Full Time
*$15,000 SIGN-ON BONUS DURING EMPLOYMENT!*
Position Description: Responsible for assessing prospective enrollees and active members of health plan to determine potential care needs and plan eligibility. Role will cover Oneida County and surrounding counties.
Performance Responsibilities and Standards:
- Makes virtual or in-person visits potential enrollees and active members of health plan as assigned.
- Provides overview of program benefits to applicant, family member(s) and caregiver(s).
- Informs consumers and members of their rights, responsibilities, and services of Nascentia Health Options
- Interviews members, family members, and/or significant others identified through case finding to assess needs for services.
- Reviews member handbook, provider directory and services covered during visit.
- Reviews and evaluates previous assessment information.
- Performs all assessment activities in compliance with all regulatory agency requirements; completes required documentation and develops initial or updates plan of care.
- Assists in determining unmet needs that are to be met through creation of person-centered service plan. Design a person center service plan driven by assessment determining services that are appropriate and necessary to meet unmet needs.
- Communicate effectively with potential members, their families, and care management staff and providers.
- Collaborate with the health care team regarding potential enrollees needs.
- Collect information regarding eligibility, benefit coverage and coordination of benefits.
- Scan in all pertinent documentation to the EHR system
- Input visit and assessment data into required EHR systems
- Participate in departmental meetings and attend all scheduled staff meetings and staff training as applicable.
- Adhere to all state and federal privacy regulations, including HIPAA and to Nascentia Health Options policies and agreements regarding confidentiality, privacy, and security.
- Maintains accurate scheduling information
- Acts as a community liaison for the health plan.
Requirements:
- Nursing: License and current registration as a Registered Professional Nurse in New York State. Education: BSN preferred; Associates Degree required. One year of Nursing Experience preferred
- Long term care and/or managed care experience required.
- Knowledge of homecare, Medicare and Medicaid preferred
- Bilingual skills preferred.
- Ability to work independently and prioritize workload.
- Computer literate and working knowledge of basic computer skills and Microsoft Office programs.
- Strong communication skills person to person and by phone.
- Valid NYS driver’s license and ability to drive in all types of weather.
- Ability to learn organizations software system to perform job duties.
Physical Requirements:
- Standing, sitting, bending, walking, and driving (frequently entering and exiting vehicle throughout the day) are standard postures.
- Frequently uses a laptop computer to enter orders and obtain product information.
- Sensory requirements include speech, vision, smell, and hearing.
- Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally
- Bloodborne Pathogens Exposure Category I – Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
Compensation & Benefits:
Competitive Salary with:
- 401K with generous Employer match
- Medical, Dental, Vision plans
- Tuition Reimbursement for BSN after 6 months of employment
- Paid Mileage/Fleet Vehicle
- Exceptional work/life balance – no rotating shifts
- Partially funded HSA
- Employee Recognition Platform
- Paid Time Off, Holidays, and Extended Sick Leave
- Short/Long term Disability
- Employee Assistance Program (EAP)
- Much More!!
________________________________________________
About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
________________________________________________
Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen
INDHP