The Clinical Assessment RN gathers referral information and makes a determination that the member may be appropriate for MLTC. The documentation is processed and a Nurse Assessor makes a home visit for the purpose of enrollment assessment to determine clinical eligibility for enrollment and works with the enrollment team to make enrollment decisions and develop care plans. Also conducts reassessments of MLTC members in their homes to determine continuing eligibility and identify any needed changes to care plans, reports findings to Care Management Team.
Documents all in Tru-Chart March system of record.
May also conduct PRI (Patient Review Instrument) assessment and screen if properly certified to do so.
Formal Education: Bachelor's Degree preferred
Experience: 1 year
License, Registration, and / or Certification Requirement: Registered Nurse, currently licensed and registered to practice in New York State.
Minimum Knowledge: Requires thorough knowledge of a specialized or technical field – Clinical assessment skills / knowledge of State and Federal regulations and requirements for eligibility for MLTC plans.
Language Ability: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Second language fluency desireable.
Bachelor's Degree in Nursing preferred.
Experience in Home Care, geriatric care, discharge planning, case management, or long term home care.
One (1) year of experience working in a community based program caring for older adults.
Demonstrated skills in planning, organizing and directing the work of others required.
Experience in Intake or an admission team of an MLTC, CHHA, or LTHHCP is
highly desirable, including completion of UAS-NY Assessements.