RN Case Assessor – Hybrid Remote - Maximus
Bronx, NY 10400
About the Job
Maximus is currently hiring hybrid remote Registered Nurse Assessors for the New York Independent Assessor Program, conducting UAS assessments to determine eligibility for community-based long-term services. The role demands robust qualifications and a dedication to ensuring accurate assessments in telehealth or in-home settings.
If you're a proficient Registered Nurse with a minimum of two (2) years of recent experience in a home environment within the past fifteen (15) years , this could involve working with a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), Managed Long Term Care (MLTC), or experience in home care as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing, we invite you to submit your application!
Get ready for an exhilarating package of perks!
A generous salary ranging from $95,000 to $100,000, tailored to your experience
Top-notch health benefits and a robust 401k plan that'll have you covered
Embrace the freedom to work from the comfort of your home office whenever possible
Experience the gratification of directly impacting the lives of New York residents, enhancing their quality of living through the groundbreaking NYIAP program.
And that's not all! This role is dynamic and hybrid, centered around the vibrant Bronx area in the heart of New York City. You'll be diving into consumer homes and conducting assessments through cutting-edge telehealth methods, making every day a thrilling adventure.
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
-Perform initial assessments of consumers that includes evaluation of health status, functional status, strengths, care needs, and preferences -Review consumer medical documentation and or health referral forms, as relevant to the case -Enter assessment data into the UAS-NY online application and transmit, as required -Code the UAS assessment correctly based on training and guidelines in the UAS-NY Community Health Assessment Reference Manual -Document outcomes of calls to consumers and scheduled appointments -Maintain current knowledge of regulatory and project changes pertaining to quality and validity of assessments -Enhance communication and collaborative relationships with leadership and interdisciplinary care team members to facilitate receipt of services -Review non-qualified assessments with the Clinical Quality Assurance Department -Maintain a comprehensive working knowledge of community resources, and network services for target population -Performs other duties as may be assigned by the Regional Nurse Manager or other project management. Minimum Requirements-Active RN license required.
Minimum 2 years clinical experience required with RN license.
-Minimum of 2 years' home setting experience, including work with CHHAs, LHCAs, MLTC, or as a paraprofessional (e.g., HHA, LPN and/or Private Duty Nursing). - Active and valid RN license in the state of New York. -Travel ability within assigned region, including to consumer homes. -Active and valid New York State Driver’s License or ID. -Ability to conduct in-home health assessments throughout assigned region. -Proficiency in navigating web-based applications, Microsoft Outlook & Word, and conducting assessments via Zoom. -Knowledge of nursing theory, state, and agency regulations. -Strong organizational, interpersonal, and communication skills. -Ability to work with multi-generational consumers, demonstrate sensitivity, and perform in a fast-paced environment. -Capability to manage multiple complex tasks and work independently.Home Office Requirements: -Candidates must have their own cell phone -Maximus provides company-issued computer equipment -Reliable high-speed internet service -Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity -Minimum 5 Mpbs upload speeds
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EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Annual Base Pay Minimum for this Position $ 95,000.00 Annual Base Pay Maximum for this Position $ 100,000.00
