UAS Assessor - Sr Care Manager - RN

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.

UAS Assessor experience is a MUST!

Registered Nurse