MLTC Intake nurse (Korean Bilingual) 경력자 구합니다.
2015-08-02 10:55:40, Hit : 6123
| 링크: https://external-healthfirst.icims.com/jobs/9540/intake-nurse-rn--bilingual-korean-%28car-required%29/job|
Intake Nurse RN -bilingual Korean (car required)
Requisition ID 2015-9540
Job Locations US-NY-New York
Department Name Intake Clincl Eligibility
More information about this job:
Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees.
Our mission is to ensure that our members have superior healthcare and satisfaction; we significantly improve the health and wellness of the New York metropolitan area, all while driving down the costs. Employees shape our company and connect us to our communities. We look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers:
Dream Big, Plan Wisely
Break Down the Walls
Think Critically, Speak Up, Deliver with Pride
Inspire Through Trust, Lead By Example
This is a field based RN position. The nurse will conduct enrollment assessments to determine clinical eligibility for the SHP Managed Long-Term Care Plan (MLTCP) and/or Healthfirst Complete Care (CC) programs by conducting functional assessments of clients in the home and 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).
The individual at this level will embody Healthfirst’s Culture Drivers through his/her workplace behavior.
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. As needed, will conduct assessments in settings other than home as needed, e.g. skilled nursing facilities
Determines clinical eligibility of prospective members following guidelines of MLTCP regulations
Contribute creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects while representing SHP/CC in the community
Remains current with industry standards as they relate to Medicaid & Medicare guidelines. Identifies barrier and develops innovative solutions to ensure quality of member care
Completes required paperwork and documentation needed to fulfill enrollment requirements to NYSDOH and SHP/CC 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
Assist as a preceptor for all new employees. Handle other duties as assigned with the commitment to work two (2) Saturdays a month on a rotating schedule
Communicates with families, caregivers, physicians and community providers regarding SHP/CC MLTCP services and service plans, completes required documents and coordinate 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
Represents SHP/CC MLTCP in the community and supports education of community providers, families and prospective enrollees in MLTCP services
Additional duties as assigned
Bilingual with the ability to read, write and speak fluently in Korean and English
Associate's Degree in Nursing and NYS RN license
Must have daily access to a car that is insured in your name and possess and maintain a valid driver's license; proof of all is required
Be able to travel within the 5 boroughs as assigned. This position reports to the headquarters location in lower Manhattan.
U.S. based experience of which at least one year is in one of the following areas:
Medical Surgical Nursing
Meet Requirements for State registration with the Uniform Assessment System (UAS): Unexpired NYS driver’s license or NYS non-driver’s license ID (DMV Identification). If residing outside of NYS, candidate must obtain a NYS non-driver’s ID before commencement of employment
State registration with UAS for long-term care in NY State is required to access for training, testing and system usage. Upon completion of UAS training, the State will administer testing online. If a passing score is not achieved, the State will allow the individual to retake the test once. The UAS access is a necessity for this position, so employment is contingent on acceptance and continued authorization by the State to have UAS access
Proficiency in navigating the Internet and multi-tasking with multiple electronic documentation systems simultaneously
The ability to troubleshoot or explain basic hardware and software errors and work with a Technician remotely to perform step-by-step repairs
Proficiency with a Corporate email system including using and sharing calendar rights
Basic skill level with MS Word. Intermediate skill level with electronic patient health information (PHI) database usage (medical records database)
Excel skills with the ability to edit, search, sort/filter, format/use styles
Able to determine clinical eligibility, navigate health care systems, organize daily activities and home visits, coordinate daily work with enrollment specialists and problem-solve difficult/challenging cases
Independent thinker with excellent communication, interpersonal and decision-making skills for frequent interaction with clients/families/care giver support to communicate outcome of assessments and for daily interactions with Care Teams to discuss scheduling, ongoing member requirements and plans of care
While performing the duties of this job, this employee will be occasionally lifting/carrying and pushing/pulling 1-20lbs
U.S. based field experience
Basic efaxing and electronic archiving
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 frail adult or elderly populations
Demonstrated ability to determine appropriate plans of care for frail elderly clients, as well as, negotiate initial service plans so that clients and families are in agreement and identify appropriate services that are needed
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