ESSENTIAL FUNCTIONS:
·Complete UAS Initial and/or Reassessment documentation, enrollment paperwork, and taking tool in the consumer's home.
·Attend training and continuing education sessions and lessons focused on the proper completion of UAS documentation, enrollment paperwork, and taking the tool.
·Focus on continuous improvement and quality excellence in the completion of all material associated with the initial enrollment/continued enrollment of consumers as members in the plan.
·Supports initiatives of the Quality Assessment and Performance Improvement Committee.
·All other duties as assigned.
Requirements/Certifications:
·The hiring manager is looking for English ONLY candidates.
·UAS Assessor experience is a MUST!
·This is a traveling position at a rate of $.54/mile.
·The selected candidates will travel to Brooklyn, Queens, The Bronx, Manhattan, and West Chester.
·On very few occasions, the candidate may have to travel between two cities on one day, but that is not likely.
·The position is M-F with the typical hours of 9 am - 5 pm; however, there is some flexibility with the hours.
·Minimum 5 years clinical experience with a focus in managed care, including behavioral health disease or case management.
·Care Management\RN - Registered Nurse, State and/or Compact State Licensure.
·Understands and is able to apply principals of Care Management and Person Centered Service Planning.
·Is able to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines.
·Is able to understand and apply coverage guidelines and benefit limitations.
·Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses (depression, challenging behaviors, Alzheimer's disease and other disease-related dementias).
·Understands and adapts appropriately to issues related to communication, cognitive or other barriers.