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RN Home Health Assessor (MLTC) Hybrid Remote

About the position

The Registered Nurse (RN) Home Health Assessor position at Maximus involves conducting UAS assessments to determine eligibility for community-based long-term services within the New York Independent Assessor Program. This hybrid remote role requires a dedicated RN with experience in home health settings, focusing on delivering accurate assessments through telehealth or in-home visits. 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 assignments.
Review assigned 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 as 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 a comprehensive working knowledge of community resources and network services for the target population.

Requirements

Active RN license required.
Minimum 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.