UAS Assesor - Senior Care Manager

Brooklyn, NY

Post Date: 08/07/2017 Job ID: 22352 Category: Registered Nurse

  • 9am - 5pm M-F
  • There is some flexibility with the hours.

Job Description:
  • Looking for someone Bilingual; English/Spanish.
  • Responsible for the completion of UAS Initial Assessments and Reassessments based on NY State requirements and guidelines and training.
  • Enrollment paperwork materials required to appropriately process consumer s application for enrollment.
  • UAS Tasking Tool based on guidelines and training provider.
  • Responsible for correction and revision of UAS, paperwork, and tasking tool documentation based on review and feedback provided through quality and associated review processes.

Essential Functions:
  • Complete UAS Initial and/or Reassessment documentation, enrollment paperwork, and tasking 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 tasking 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.

  • Care Mgmt\RN - Registered Nurse, State and/or Compact State Licensure.

Qualifications & Experience:
  • UAS Assessor experience is a MUST.
  • Minimum 5 years clinical experience with focus in managed care, including behavioral health disease or case management.
  • Understands and is able to apply principals of Care Management and Person Centered Service Planning.
  • Is able to apply 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.

Education Level:
  • Bachelor's Degree.

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