Field Intake RN (All boroughs) - #9826661

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

Job Summary

The Field Intake Nurse is responsible for assessing a member’s eligibility for the Managed Long Term Care program. The Intake Nurse will conduct a face-to-face comprehensive assessment utilizing NYSDOH approved assessment tool (UASNY) with a potential member in his/her place of residence. The Intake RN also utilizes CPHL’s database of record, completing all necessary documentation to meet CPHL standards. This position requires thorough knowledge of CPHL’s program and services, and the ability to communicate clearly the member benefits. The Intake Nurse must possess clinical skills and good judgment, implementing safe plans of care, along with the ability to empathically discuss and describe CPHL services and regulations.

Responsibilities

PRIMARY RESPONSIBILITIES:

• Assesses prospects in their place of residence, completing a comprehensive assessment (UASNY) to determine eligibility and initial plan of care
• Effectively completes the required assessment form (UASNY) and other CPHL necessary documents within the required timeframes and in accordance with CHPL established policies and procedures and State and Federal guidelines and regulations.
• Communicates plan benefits clearly and easily to prospects and referral sources
• Completes and submits thorough and high quality documentation in a timely manner
• Appropriately alerts Supervisors regarding any issues encountered in the field
• Recognizes quality of care issues and escalates issues appropriately, communicating effectively with coordinators and supervisors as needed
• Complies with all CPHL’s standards for documentation
• Maintains member confidentiality and compliance with HIPAA requirements
• Participates in regularly scheduled and other staff meetings as requested
• Participates in quality improvement initiatives
• Other duties as assigned
  
  

Education And Experience

Education

• Graduate of a 2- 4 year accredited nursing program
• Active and unrestricted NYS RN license
  
  

Type Of Experience

Specific Technical Skills and Knowledge

• Strong written and verbal communication skills.
• Proficient in the use of Microsoft Office Suite tools
• Ease with learning new database systems
  
  

Certifications/Licensure

• Graduate of a 2- 4 year accredited nursing program
• Active and unrestricted NYS RN license
• Must possess a valid driver’s license, motor vehicle insurance and access to a motor vehicle, or access to reliable public transportation within the appropriate service area
• Ability to travel within assigned area
• Professional Liability Insurance
  
  

SCOPE INFORMATION

# Direct Reports: 0

Physical Requirements

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to operate office equipment including a computer and phones
• Able to communicate both in person and by phone
• Must be able to travel as needed
  
  

The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.

Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.

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