Description |
Requisition Number 13-0496 Post Date 3/16/2013 Title Intake Nurse - Spanish City New York Location NY - New York City State NY Description Job Title: Intake Nurse - Spanish Department: SHP Clinical Eligibility - Intake Reports To: Assessment Nurse Manager Position Summary: The bilingual English and Cantonese Intake Nurse at Senior Health Partners (SHP) conducts enrollment assessments to determine clinical eligibility for SHP Managed Long-Term Care Plan (MLTCP) by: - Conducting functional assessments of clients in the home - Preparing assessment documents and developing initial plans of care Frequently communicates complex information and interacts through electronic documentation/tools. This is a paperless work environment requiring daily hands-on administration of multiple electronic Patient Health Information (PHI) databases and security requirement tools such as encryption. These systems include, but are not limited to CCMS (CareEnhance Clinical Management Software), Sunguard Macess Service Module (electronic archiving), RightFax, VoIP, Virtual Work Platforms (using VPN), scanning and creating .pdf files (Adobe Acrobat), and MS Office 2010 software (such as Word and Outlook). Essential Duties and Responsibilities: Conducts enrollment assessments of prospective members in their homes; makes enrollment decisions and develops initial plans of care by utilizing clinical expertise and critical thinking skills. Determines clinical eligibility of prospective members following guidelines of MLTCP regulations. Completes required paperwork and documentation needed to fulfill enrollment requirements to NYSDOH and SHP care management teams using demonstrated ability to translate assessments into written reports. Enters documentation/PHI into various electronic systems including SHP EMR, DELTA, MACCESS, Right Fax. Communicates with families, caregivers, physicians and community providers regarding SHP MLTCP services and service plans, required documents, coordinated home visits as needed. Ensures that prospective members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan. Other Duties and Responsibilities: Represents SHP MLTCP in the community and supports education of community providers, families and prospective enrollees in MLTCP services. Assists in developing innovative methods of documentation and record-keeping. Conducts assessments in settings other than home (skilled nursing facilities) as needed. Qualifications Summary: Education: Required: Associates degree. Licenses, certificates, etc. Required: NYS Registered Professional Nurse. Work Related Skills and Experience: Minimum Qualifications: Language: Complete fluency in speaking in Spanish and English is required. Technical Skills: Intermediate Microsoft Word, Excel, PowerPoint, Electronic Medical Records (EMR), Use of Database (PHI) and Electronic Archiving and Faxing skills are required. Experience: At least 1 year of U.S. based experience in one of the following areas: -Geriatrics -Home Care -Discharge Planning -Case Management -Medical Surgical Nursing Must be able to determine clinical eligibility, navigate health care systems, organize daily activities and visits, coordinate daily work with enrollment specialists, and problem-solve difficult/challenging cases. Experience managing patient/client information in a shared network environment using paperless database modules and archival systems. Experience must include demonstrated ability to determine appropriate plans of care for frail elderly clients, negotiate initial service plans so that clients and families are in agreement, identify appropriate services that are needed. Preferred Qualifications: Technical Skills: E-faxing and electronic archiving skills are required. Experience: 1 year of U.S. based field experience. Experience with multiple Medicaid managed care plan products such as, Family Health Plus (FHP), Eastern Benefits System (EBS), Federal Employee Program (FEP). Experience working with a frail adult or elderly population. Knowledgeable of the values offered with integrated care. Demonstrated ability to determine appropriate plans of care for frail elderly clients, negotiate initial service plans so that clients and families are in agreement and identify appropriate services that are needed. Physical Demands: While performing the duties of this job, this employee will be occasionally overhead lifting and crouching. This employee will be frequently reaching, bending, walking, sitting, keying, balancing, standing, driving, traveling and lifting/carrying and pushing/pulling 1-10lbs. Additional Information: Must be able to work rotating Saturdays, approximately one every other month. Healthfirst offers a comprehensive benefits package including, but not limited to: Medical Dental Vision Basic Life and Accident Insurance Supplemental Life insurance Dependent Life Insurance Short-Term Disability Buy-Up Short Term Disability Long-Term Disability Flexible Reimbursement Accounts Healthfirst 401(k) Plan Employee Assistance Plan Commuter Savings Program Eligibility for Annual Bonuses Generous Paid Time Off program Paid Candidate Referral Program Conditions of Employment: Employee must pass pre-employment screening which includes a background check and drug testing. Employee must present documentation to verify minimum of high school educational requirement. Disclaimer: The statements herein are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, national origin, disability or veteran status.
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