What are the responsibilities and job description for the Intake RN position at Centers Plan for Healthy Living/Centers Care Solutions?
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.
JOB SUMMARY:
The Intake RN is responsible for conducting UAS-NY assessments, determining when individuals are appropriate for membership and developing plans of cares for prospective CPHL members. Intake RNs must complete full productivity and submit all paperwork in a timely fashion. This position is also responsible for explaining managed long term care benefits and services to prospects. The Intake RN will be in constant communication with their Intake RN Supervisor as well as Intake UAS reviewers to ensure that documentation is being completed properly.
PRIMARY RESPONSIBILITIES:
- Assesses prospects via telehealth, completing a comprehensive assessment (UASNY) to determine eligibility and initial plan of care
- Develops plans of cares for prospects using NYIA’s assessments
- Effectively completes the required assessment form (UASNY) and other CPHL necessary documents within the required timeframes and in accordance with CHPL established policies and procedures and State and Federal guidelines and regulations.
- Communicates plan benefits clearly and easily to prospects and referral sources
- Completes and submits thorough and high-quality documentation in a timely manner
- Appropriately alerts Supervisors regarding any issues encountered during an assessment
- Recognizes quality of care issues and escalates issues appropriately, communicating effectively with coordinators and supervisors as needed
- Complies with all CPHL’s standards for documentation.
- Maintains member confidentiality and compliance with HIPAA requirement.
- Participates in regularly scheduled and other staff meetings as requested
- Participates in quality improvement initiatives
- Other duties as assigned
EDUCATION AND EXPERIENCE:
Education Required:
Registered Nursing License
Type of Experience
Preferred:
Overall understanding of community-based care programs
Specific Technical Skills
Preferred:
Case Trakker, SalesForce, Excel, Power Point, Word
Certifications/Licensure:
Required: Registered Nursing License
Knowledge and Skills:
Solid clinical judgment and ability to problem solve in real-time
- Knowledge of MLTCP regulations
- Works well with various personalities and work styles
- Ability to manage multiple tasks simultaneously and meets deadlines
- Ability to communicate clearly, educate prospects, and take ownership of assigned work
PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to operate office equipment including a computer and phones
- Able to communicate both in person and by phone
The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.
Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.