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Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Field Assessment Nurse

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

About the Job

Requirements

  • A current New York State registered nurse license is required.
  • Ability to travel around downstate New York, including the five boroughs, Long Island, Rockland, and Westchester.
  • For pediatric positions only, one year of pediatric clinical field experience and/or experience with families and child-serving systems, including child welfare and/or medically fragile or developmentally disabled populations.

Responsibilities

  • Conduct home assessments and, as needed, virtual assessments for prospective members and reassessments of current members using the Uniform Assessment System; make enrollment and continued-eligibility determinations using clinical expertise and critical thinking.
  • Navigate technology and digital platforms, including Uniform Assessment System software, electronic medical records, and TruCare, to conduct and document comprehensive assessments accurately and efficiently.
  • Complete assessments of service needs per CMT and member or family/caregiver requests to determine service needs or necessary adjustments.
  • Review previous nursing assessments and medical notes to determine necessary care-plan adjustments or updates, or to assist with nursing home admission.
  • Conduct in-person care-management visits in support of person-centered service planning.
  • Liaise between the member and the CMT, and assess the home environment and psychosocial status.
  • Provide feedback to home care agencies and CMT regarding home-care issues and contract nurses’ and aides’ performance.
  • Provide community-based training for frail populations on self-care techniques and prevention strategies.
  • Ensure prospective members and significant others or responsible parties understand and agree to enrollment in a managed long-term care plan.
  • Perform additional duties as assigned.

Desired Qualifications

  • Previous field-based experience assessing, planning, and evaluating member care through home or facility visits for intake, reassessments, or start-of-care Community Home Health Agency visits.
  • Work experience in one or more of geriatrics, home care, discharge planning, case management, and/or medical-surgical nursing.
  • Experience using electronic patient health information databases, especially the Uniform Assessment System.
  • New York State driver's license.
  • Knowledge of health insurance, Medicaid, Medicare, and managed long-term care programs.
  • Experience working with frail adult or elderly populations, 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.
  • Language preferences include Spanish, Russian, French, Creole, Mandarin, and Cantonese.
  • 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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