Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills.
As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually
Navigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently
Completes assessment of service needs per CMT and member's family/caregiver’s request to determine service needs or any necessary adjustments
Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission
Conducts in-person Care Management visits in support of person-centered service planning
Liaisons between the member and the CMT; assesses home environment and psychosocial status
Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance
Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies
Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan
Additional duties as assigned

New York State RN license
Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester.
Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities
Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills
Prior work experience requiring time management, critical/creative thinking, communication, and problem-solving skills
For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations

Flexible work schedule (4x10s or M-F )
No weekends, holidays or night shifts
Full benefits; Medical, Dental, Vision, Retirement, Employee Wellbeing & Assistance Programs, Paid Time Off (PTO) & more!
Immersive 6-week training program to support you and set you up for success
Professional growth & development opportunities

Registered Nurse, Bronx, NY

Key skills