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
- Review favorable and partially favorable determinations in accordance with applicable regulations. ,
- Render medical necessity determinations for assigned cases. ,
- Resolve technical issues within reconsideration assigned. ,
- Review cases or sites to summarize facts and assess identified issues. ,
- Perform special projects such as legal and medical research, drafting proposals, or acting as a liaison for specific projects. ,
- Conduct initial assessments of consumers, evaluating health status, functional status, strengths, care needs, and preferences. ,
- Review consumer medical documentation and health referral forms relevant to cases. ,
- Enter assessment data into the UAS-NY online application and transmit as required. ,
- Code UAS assessments correctly based on training and guidelines. ,
- Document outcomes of calls to consumers and scheduled appointments. ,
- Maintain knowledge of regulatory and project changes related to assessments. ,
- Enhance communication and collaborative relationships with leadership and interdisciplinary care team members. ,
- Review non-qualified assessments with the Clinical Quality Assurance Department. ,
- Maintain knowledge of community resources and network services for the target population. ,
- Perform other duties as assigned by the Regional Nurse Manager or project management.
Requirements
- Active RN license required. ,
- Minimum of 2 years clinical experience required with RN license. ,
- 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). ,
- Active and valid RN license in the state of New York. ,
- Ability to travel within assigned region, including to consumer homes. ,
- Active and valid New York State Driver's License or ID. ,
- Ability to conduct in-home health assessments throughout the assigned region. ,
- Proficiency in navigating web-based applications, Microsoft Outlook & Word, and conducting assessments via Zoom. ,
- Knowledge of nursing theory, state, and agency regulations. ,
- Strong organizational, interpersonal, and communication skills. ,
- Ability to work with multi-generational consumers and demonstrate sensitivity in a fast-paced environment. ,
- Capability to manage multiple complex tasks and work independently.
Nice-to-haves
- Experience with telehealth assessments. ,
- Familiarity with UAS-NY Community Health Assessment Reference Manual.
Benefits
- Generous salary ranging from $95,000 to $100,000 based on experience. ,
- Top-notch health benefits. ,
- Robust 401k plan. ,
- Flexible work from home options.