Field Registered Nurse Assessor Bronx, NY

Maximus
US - New Jersey - Jersey City
January 13, 2025

General information

Job Posting Title

Field Registered Nurse Assessor (Bronx, NY)

Date

Monday, January 13, 2025

City

Bronx

State

Country

United States

Working time

Full-time

Description & Requirements

Field Registered Nurse Assessor(Bronx, NY)

Location: Bronx, New York

Yearly Base Pay: $107,000-$118,000

Maximus is currently seeking Field Nurse Assessors to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the New York Independent Assessor Program (NYIAP). The program serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. NYIAP Nurse Assessors conduct conflict-free assessments of these individuals using the Community Health Assessment tool to determine whether they qualify for these services. In this role, the Field Nurse Assessor will have the opportunity to assist the clinical leadership team with conducting home assessments in the Bronx.

*This position will support the Bronx with surges in demand, the regions of University Heights, Morrisania, and Yankee Stadium. The position requires attending and conducting assessments in consumer homes, facilities, or through a telehealth modality, depending on operational need.

Essential Duties and Responsibilities:

- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.

- Render medical necessity determinations for cases assigned.

- Resolve all other technical issues within reconsideration assigned.

- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
• Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.

- Perform other duties as assigned by management.

• Enter assessment data into the UAS-NY online application and transmit, as required.

-Code the UAS assessment correctly based on training and guidelines in the UAS-NY Community Health Assessment Reference Manual.

-Review non-qualified assessments with the Clinical Quality Assurance Department.

-Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population.

-Maintain updated knowledge of the UAS-NY assessment process.

-Review consumer medical documentation and/or health referral forms, as relevant to the case.

-Document any concerns, conflicting information, other issues that surface during the evaluation process.

-Perform other duties as many be assigned by the Senior Manager or other project management.

Minimum Requirements

-Active RN license required.

Minimum 2 years clinical experience required with RN license.

• 2+ years RN in-home care experience.

-Active and unrestricted RN license in the state of New York.

-Ability to travel locally.

-Reliable form of transportation may include ride-sharing options.

Preferred Qualifications

-Prior experience using the UAS-NY Community assessment tool.

Home Office Requirements

-Maximus provides company-issued cellphone.

-Maximus provides company-issued computer equipment.

-Reliable high-speed internet service with 100 Mbps download speed (speedtest.net)

-Private and secure home office workspace.

• NYMC #NYMCRegisteredNurse #NYMCRN

Read the full job description and apply online on the recuiter's web-site

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Description & Requirements

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