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Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Assessment RN

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeBronx, NY, USA

About the Job

Requirements

  • A New York State registered nurse license is required.
  • Ability to travel in and around Bronx, New York, is required.
  • An unexpired New York State driver's license or New York State ID is required.
  • Bilingual Spanish and English ability is required.

Responsibilities

  • Conduct assessments for prospective members and reassessments of current members, and identify enrollment or eligibility using clinical expertise and critical-thinking skills; conduct assessments in settings other than the home, such as skilled nursing facilities, as needed.
  • Conduct in-person care-management visits in support of person-centered service planning.
  • Complete assessments of members' needs when their conditions change.
  • Review previous nursing assessments and medical notes to determine necessary care-plan adjustments or updates and assist with nursing-home-placement eligibility.
  • Coordinate with home-care agencies, vendors, pharmacies, medical providers, and the Care Management Team regarding identified needs.
  • Provide community-based education for the frail population, including self-care and preventative care.
  • Perform additional duties as assigned, including care-management tasks as needed.

Desired Qualifications

  • Geriatrics experience.
  • Home-care experience.
  • Discharge-planning experience.
  • Case-management experience.
  • Medical-surgical nursing experience.
  • Experience with electronic patient health information databases.
  • Knowledge of health insurance, Medicaid, Medicare, and managed long-term care plans.
  • Experience working with frail adults or elderly people, including determining appropriate care plans and services and negotiating initial service plans with members and families.
  • Time-management, critical and creative thinking, communication, and problem-solving skills.
  • Field experience assessing, planning, and evaluating member or patient care.
  • Demonstrated ability to handle heavy caseloads.
  • Intermediate skills in Microsoft Word, Excel, and Outlook.

About the Company

Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Healthfirst is a nonprofit health insurer in the New York metropolitan area offering a range of health plans, including Managed Long-Term Care (MLTC) for people who need ongoing care, Medicare Advantage with extra benefits, and the Essential Plan for income-qualified individuals. MLTC coordinates in-home and community-based care; Medicare Advantage combines Medicare with additional benefits in a single plan; the Essential Plan provides affordable coverage through a low-cost option, all delivered through a network of healthcare providers funded by premiums and government support. It differentiates itself through its nonprofit status, strong local focus, and partnerships that connect New Yorkers to a coordinated set of public-program-aligned products alongside Medicare Advantage. Its goal is to expand access to affordable, comprehensive health coverage for New Yorkers, especially vulnerable groups, by leveraging its local presence and provider network.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1993

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