Nurse Assessor - Per Diem (5 Boroughs only)

Job Overview:

The role of the Nurse Assessor is to be responsible for the routine assessments and SCIC/Acute assessments of existing members. Nurse Assessors function as member of care management team in the form of the annual UAS reassessment.

Nurse assessors are responsible for completing accurate, complete and thorough UAS assessments to ensure members will receive a safe and complete Plan of Care based on assessment results.  It is essential the Nurse Assessor has a strong understanding of the UAS-NY Assessment, to be able to critically think to interpret assessment visit to correct UAS node selection, and to provide clear and thorough nursing documentation in the UAS comment section to allow the Care Management team to identify and understand members needs to provide safe and accurate Patient Centered Service Plan. Nurse Assessors must be able to interpret and understand the QAS suggestion and have a strong understanding of the quality measures.  Nurse Assessors must have a strong understanding of the MLTC and MAP programs.

Employee responsibility pertains to required duties at Hamaspik Choice and/or by controlling entities/individuals as necessary.

Essential Responsibilities:

·  Conducts UAS-NY Reassessment and Acute visits. Must be able to complete Face to Face and virtual assessments.

·  Handles all visit scheduling independently.

·  Conducts assessment of members to determine overall health needs.

· Provides member and family teaching at reassessment and Acute visits of plan benefits, service requests, CDPAS/PCA programs, and/or appeals.

·  Communication of member’s needs to member’s care manager.

·  Reassessment of member’s needs at annual Reassessment visit or Acute Assessment; initiation of PSCP mapping script.

·  Attends professional and required programs and staff meeting.

·  Participates in the agency QA Program, as requested.

·  Performs assessments, completes documentation and activities within the time frames set forth by the Agency.

·  Is receptive and responsive to Nurse Review teams suggestions, corrections within a timely manner.

·  Other assignments within the NURSING Practice Act.

Specific Knowledge, Skills, and Abilities:

·     Knowledge of member assessment procedure.

·     Completion of UAS-NY training courses.

·     Knowledge of member teaching process.

·     Knowledge of pathophysiology.

·     Knowledge of medication, administration, via oral, IM and SQ.

·  Demonstrates ability to effectively communicate information with members of all ages and socioeconomic levels.

·     Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.  Ability to speak effectively before members or employees of the agency.

·     Able to Navigate Guiding Care System to locate information needed for assessments/reviews.

·     Correctly enters UAS Note when scheduling and completing assessments.

·    Identify the appropriate activities in GC for each visit or request. (Service requests, DME requests, assessment completed).

·     Able to correctly complete PCSP mapping script.

·     Able to correctly complete Member Acknowledgement form.

·     Understands and enters proper CDPAS Documentation including CDPAS R&R, CDPAS DR, CDPAS POC.

·     Uploading documents in GC.

·     QCSS interpret and understand QAS suggestions.

·     UAS – able to use Critical Thinking to interpret assessment visit to correct UAS node selection.

·     UAS – able to interpret and understand assessment nodes in relation to corresponding nodes.

·     UAS – able to document in comments to reflect node selection.

·     UAS assessment conducted in professional manner.

·     TASKING TOOL – able to generate TTT in conjunction with UAS assessment.

·     Understands services offered through MLTC and MAP programs.

Required Education, Experience, and Licenses:

·        NYS Licensed and currently registered as a Registered Professional Nurse.

·        2 years satisfactory office experience and experience in Managed Care, desired.

Requirements & Compensation:

·        Must have a reliable vehicle for the in person visits.

·        $250 to $275 per completed assessment.