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Posiition Overview

Under the direction of the Assessment Nurse Team Lead, and in collaboration with the member’s Care Manager, this role will conduct an in-person home visit for MLTC and MAP members at a 6-month interval from the member’s UAS. The home visit includes a brief health assessment on medical and behavioral health topics as well as a quick environmental scan of the member’s home. The information gathered during this visit will then be incorporated into the member’s subsequent person-centered service plan (PCSP). This home visit is a regulatory requirement for both MLTC and MAP and ensures that the member’s PCSP is completely aligned with their current needs, validated with the gathering of face-to-face data.

Job Description

• Conducts home visits to all members assigned and ensures compliance with HIPAA verification
• Schedules own home visits, optimizing efficiency
• Utilizes the home visit assessment tool when speaking with the member
• In the event that a member is unwilling to have someone visit them in the home, conduct telehealth home
• visit using the same tool
• Escalates clinical and social issues to the members’ designated Care Manager
• Accurately and timely documents member call interaction in the care management system Disease Care
• Management System (DCMS)
• Provides printed educational materials as appropriate
• Fulfills basic care coordination tasks for the member such as appointments, transportation, medication
• issues such as needing prescription or refill, DME, etc.
• Conducts other supportive activities as assigned

Minimum Qualifications

• Bachelor’s degree from an accredited college or university in a healthcare-related field is required
• Minimum of 2 years of work experience in care management/coordination, health education, health home or community-based organization required
• Managed Care experience preferred

Job Type: Full-time

Pay: $50,000.00 per hour

Benefits:

• 403(b) matching
• Employee assistance program
• Flexible spending account
• Paid training
• Referral program
• Tuition reimbursement

Schedule:

• Monday to Friday

Work setting:

• Hybrid work

Ability to Relocate:

• New York, NY 10004: Relocate before starting work (Required)

Work Location: Hybrid remote in New York, NY 10004