Nurse Assessor

• Conduct in-home evaluations to develop personalized long-term care plans
• Perform initial in-home pre-evaluation of patients including evaluation of health status, strengths, care needs, and preferences
• Review medical documentation and enter data into the system
• Facilitate communication between care teams and ensure seamless care coordination
• Identify health promotion opportunities and advocate for preventive care
• Maintain a thorough understanding of community resources and payor requirements
• Enter evaluation data into electronic evaluation form and transmit as required
• Document any concerns, conflicting information, other issues that surface during the evaluation process
• Emphasize continuity of care thus reducing or eliminating fragmentation duplication and gaps in treatment plan
• Discuss with consumer health care options, supports needed, service vendor options and waiver options
• Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
• Enhance communication and collaborative relationships with interdisciplinary care team members
• Collect quality review data and any required documentation
• Identify opportunities for health promotion and consumer illness prevention
• Maintain a comprehensive working knowledge of community resources, payor requirements and network services for target population
• Meet all standards established for this position
• Perform other duties as may be assigned by the Regional Nurse Manager or other project management

• Graduate of an accredited nursing program
• BSN preferred
• Current RN Licensure in New York State
• At least 2 years of experience in a home setting
• Proficient in health status evaluations, adept with technology, and knowledgeable in nursing practices and state regulations
• Bilingual Skills: Preferred in languages such as Spanish, Russian, Haitian-Creole, Chinese, or Korean
• Must have a valid NY State Driver's License or ID and be willing to travel for onsite assessments

Bilingual skills in Spanish, Russian, Haitian-Creole, Chinese, or Korean

• Medical, dental, and vision coverage
• Life and disability insurance
• Additional voluntary benefits