Field Nurse

Summary:

This position is responsible conducting face to face assessment of members in their home and/or facility. This is accomplished by utilizing required NYS UAS Assessment Tools to determine functional status, medical, behavioral, psychological, and community resource needs for coordinating, integrating, and monitoring the use of medical and health care services for members; The SN UAS Nurse may also perform other technical and administrative tasks essential to the efficient operation of the department.

Responsibilities:

Conducts face to face assessment of members utilizing required NYS UAS Assessment Tools, and/or other tools as directed by NYS or other regulatory bodies, to determine functional status, medical, behavioral, psychological, and community resource needs, as well as member's level of work capacity and related restrictions/limitations.

Collaborates with interdepartmental teams and external stakeholders, if necessary, to assist in the development of Person-Centered Service Plan; Clarifies benefits, policies, and procedures for current members, providers, and community-based agencies.

Assesses, plans and implements care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care.

Identifies social service programs; including financial, psychosocial, community and state supportive services available to augment the need for LTSS services.

Refers appropriate cases to governmental agencies (e.g. Client/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated internal/external entity.

Communicates with all internal and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

May be required to attend Fair Hearings with Medical Director relating to specific cases.

Attends departmental meetings, as required.

Works independently, as well as collaboratively, with members and internal/external stakeholders, resulting in improved member health.

Minimum Resource Qualifications:

RN with valid and current NYS Nursing Licensure

Valid NYS driver's license required

A minimum of four years clinical experience in ambulatory care, community health or home health setting

Long Term Support Services (LTSS) or Managed Long-Term Care (MLTC) UAS field RN experience preferred.

Excellent written and verbal communication skills.

Excellent computer skills and use of measurement/criteria following NYS guidelines.

Working knowledge of Microsoft Office applications (Word, Excel)

Strong interpersonal skills.

Compensation:

The pay rate range above is the base hourly pay range that Aditi Consulting reasonably expects to pay someone for this position (compensation may vary outside of this range depending on several factors, including but not limited to, a candidate's qualifications, skills, competencies, competencies, experience, location and end client requirements).

Benefits and Ancillaries:

Medical, dental, vision, PTO benefits and ancillaries may be available for eligible Aditi Consulting employees and vary based on the plan options selected by the employee.