Field Assessment Nurse Bronx and Westchester Counties, NY

About the position Responsibilities • Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care • Utilize the NYS UAS Assessment as needed in the home or via telehealth to develop a person center service plan to meet the member's needs • Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services • Manage the care plan throughout the continuum of care as a single point of contact • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members • Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Requirements • Current, unrestricted, independent licensure as a Registered Nurse • 2+ years of relevant clinical work experience • 1+ years of community case management experience coordinating care for individuals with complex needs • Demonstrated knowledge of home health, hospice, public health or assisted living • Proficiency with MS Word, Excel, and Outlook • Willing or ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices • New York state issued ID or ability to obtain one prior to hire Nice-to-haves • Behavioral health or clinical degree • Experience with electronic charting • Experience with arranging community resources • Field-based work experience • Background in managing populations with complex medical or behavioral needs • Proficient in use of UASNY Benefits • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays • Medical Plan options along with participation in a Health Spending Account or a Health Saving account • Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage • 401(k) Savings Plan, Employee Stock Purchase Plan • Education Reimbursement • Employee Discounts • Employee Assistance Program • Employee Referral Bonus Program • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) Apply tot his job