• Job Description

  Req#: R018177
  In this remote role the Virtual Assessment Nurse holds virtual meetings to conduct assessments for members residing around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members’ enrollment, service needs, and continued plan eligibility. Healthfirst service areas may include but not limited to the five boroughs, Nassau/Suffolk/Rockland/Orange/Sullivan County, Long Island and Westchester. This position coordinates with the Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst’s long term care plans. This is a remote role, working from home. This position will come into the 100 Church St. New York office location for training and business meetings as required.

  Duties/Responsibilities:

  · Conducts telephonic and virtual home assessments for prospective members and re-assessments of current members using the Uniform Assessment System (UAS) or other relevant department approved assessment tool; makes enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As needed, conducts telephonic/virtual assessments in settings other than home, e.g. skilled nursing facilities

  · Completes assessment of member’s needs at the member's, caregiver’s and/or CMT’s request due to a change in condition

  · Reviews previous nursing assessments and medical notes to determine necessary adjustments and updates to the Care Plan and/or to assist with nursing home placement eligibility

  · Liaisons between the member and the CMT; assesses home environment and psychosocial status

  · Coordinates with home care agencies, vendors, pharmacies, medical providers and CMT regarding needs identified

  · Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance

  · Provides community-based education for our frail population including self-care techniques and preventative care strategies

  · Ensures (prospective) members and significant others/responsible parties understand and agree with enrollment into the managed long-term care plan

  · Additional duties as assigned, including, but not limited to care management tasks as needed

  Minimum Qualifications:

  · New York State RN license

  · Valid NY state driver’s license or NYS DMV ID

  · Work experience involving time management, critical/creative thinking, communication, and problem-solving skills

  · Demonstrated ability to work independently and handle high volume caseloads
  

  Preferred Qualifications:

  · Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits is highly preferred

  · Work experience preferred in one or more of the following areas: Geriatrics, Home Care, Discharge Planning, Case Management, Medical Surgical Nursing

  · Electronic patient health information (PHI) database experience

  · Knowledge of health insurance, Medicaid, Medicare and MLTCP

  · Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services as well as negotiate initial service plans so that members and families are in agreement

  · Time management, critical/creative thinking, communication, and problem-solving skills

  · Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese

  · Intermediate skills using Microsoft Word, Excel, and Outlook

  WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

  If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

  EEO Law Poster and Supplement

  All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

  Hiring Range*:

  • Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470

  • All Other Locations (within approved locations): $71,600 - $106,505

  As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

  In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

  *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

• About the company

  Healthfirst health insurance gives you access to a large network of doctors and hospitals and access to the care you need, when you need it. Learn more now.

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