Nurse Assessor (RN) - Hybrid Remote in Bronx

About the position

Maximus is seeking hybrid remote Registered Nurse Assessors for the New York Independent Assessor Program. This role involves conducting UAS assessments to determine eligibility for community-based long-term services, requiring a strong commitment to accurate assessments in both telehealth and in-home settings. The position offers a competitive salary and the opportunity to make a significant impact on the lives of New York residents.

Responsibilities

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  Review favorable and partially favorable determinations in accordance with applicable regulations.
  
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  Render medical necessity determinations for assigned cases.
  
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  Resolve technical issues within reconsideration assigned.
  
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  Review cases or sites to summarize facts and assess identified issues.
  
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  Perform special projects such as legal and medical research, drafting proposals, or acting as a liaison for specific projects.
  
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  Conduct initial assessments of consumers, evaluating health status, functional status, strengths, care needs, and preferences.
  
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  Review consumer medical documentation and health referral forms relevant to cases.
  
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  Enter assessment data into the UAS-NY online application and transmit as required.
  
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  Code UAS assessments correctly based on training and guidelines.
  
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  Document outcomes of calls to consumers and scheduled appointments.
  
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  Maintain knowledge of regulatory and project changes related to assessments.
  
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  Enhance communication and collaborative relationships with leadership and interdisciplinary care team members.
  
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  Review non-qualified assessments with the Clinical Quality Assurance Department.
  
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  Maintain knowledge of community resources and network services for the target population.
  
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  Perform other duties as assigned by the Regional Nurse Manager or project management.
  

Requirements

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  Active RN license required.
  
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  Minimum of 2 years clinical experience required with RN license.
  
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  Minimum of 2 years' home setting experience, including work with CHHAs, LHCAs, MLTC, or as a paraprofessional (e.g., HHA, LPN, or Private Duty Nursing).
  
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  Active and valid RN license in the state of New York.
  
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  Ability to travel within assigned region, including to consumer homes.
  
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  Active and valid New York State Driver's License or ID.
  
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  Ability to conduct in-home health assessments throughout the assigned region.
  
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  Proficiency in navigating web-based applications, Microsoft Outlook & Word, and conducting assessments via Zoom.
  
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  Knowledge of nursing theory, state, and agency regulations.
  
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  Strong organizational, interpersonal, and communication skills.
  
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  Ability to work with multi-generational consumers and demonstrate sensitivity in a fast-paced environment.
  
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  Capability to manage multiple complex tasks and work independently.
  

Nice-to-haves

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  Experience with telehealth assessments.
  
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  Familiarity with UAS-NY Community Health Assessment Reference Manual.
  

Benefits

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  Generous salary ranging from $95,000 to $100,000 based on experience.
  
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  Top-notch health benefits.
  
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  Robust 401k plan.
  
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  Flexible work from home options.
  

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