Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
Review consumer medical documentation and or health referral forms, as relevant to the case
Enter evaluation data into electronic UAS evaluation form and transmit, as required
Document any concerns, conflicting information, other issues that surface during the evaluation process
Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
Discuss with consumer health care options, supports needed, service vendor options and waiver options
Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Collect quality review data and any required documentation to support outcome measurements and record case notes into the customer relationship manager system
Identify opportunities for health promotion and consumer illness prevention
Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
UAS training is provided
Requirements of the UAS Assessment RN
Active, unencumbered New York State Registered Nursing (RN) license
Two years of field-based/ Care Manager experience.
UAS experience preferred; training is offered
Experience in Home/Community based or Long Term Care services delivery
