Clinical - Exception Template
Job Description:
Long Term Care Nurse Specialist (NY ONLY) Brooklyn, NY or Bronx, NY preferred SHIFT:
This is a 8:
30AM-5 :
00PM position (7.5 hours daily). Overtime may be required. Candidate should reside in or near the Bronx, UAS experience preferred, Bilingual Spanish is a plus, predominantly a field position. NYS RN license required. Position Purpose:
Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination. Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact Authorize and coordinate referral for services Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services Assist member with filing and resolving complaints and appeals Direct care to participating network providers Participate in care management committees and work on special projects related to care management as needed Education/
Experience:
3
years of care management experience preferred, Home health, discharge planning, or long term care experience preferred. Licenses/Certifications:
Valid driver's license. NYS RN license required. Walk me through the day to day responsibilities of this the role and a description of the project:
RN must prep for the visit the morning of or afternoon before (Review of EMR and previous assessments) Be prepared to use critical thinking and problem solving skills. Travel to the members home to conduct the visit. Accurately document according to the provided documentation template which is a minimum of what is expected. Review all documentation and utilize Lenavi to identify inconsistencies that need to be corrected or validated. Complete and load supplemental tools and documents. Each day varies, nurse needs to be flexible with schedule and process changes, critical thinking and problem solving, prepared for travel, weather variability. Ability to be non-judgmental when visiting members' homes and experiencing adverse events. Describe the performance expectations/metrics for this individual and their team:
Complete 2-5 visits depending on the type of visit assigned. Visits have different time allotments assigned based on what is required during the visit. Internal/External Groups with which the Candidate will interface:
Prospective members, members, facility staff, Care management, Family members Required Skills/
Experience:
MLTC , MAP or Maximus experience Preferred Skills/
Experience:
1. Flexibility 1. Flexibility 2. Excellent written and verbal communication 2. Organized 3. Technology:
outlook, Excel, Microsoft 3. Education Requirement:
AS Education Preferred:
BSN Software Skills Required:
Word, Outlook, Excel, Microsoft, Adobe, EMS Required Certifications:
RN, NY State Driver's License Required Testing:
UAS Recommended Skills Adobe Assessments Care Coordination Communication Critical Thinking Filing Apply to this job. Think you're the perfect candidate? Apply Now $(document).ready( function() $(#ads-desktop-placeholder).html(
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n Estimated Salary: $20 to $28 per hour based on qualifications.
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