Enrollment Nurse (Spanish Speaking)

Job Overview:

The Enrollment Nurse is responsible for completing the UAS assessment, reviewing the NYIA assessment, creation of the time tasking tool for the potential member, and development of the Person-Centered Service Plan (PCSP). The Enrollment nurse also conducts PCSP meeting with the potential member and obtains the enrollment documentation to ensure potential member enrolls into the Plan.

Essential Responsibilities:

• Conducts UAS-NY assessment visits for potential plan members.
• Conducts assessment of newly referred members, assesses overall health needs and eligibility for enrollment.
• Provides member and family teaching at initial visits.
• Post-visit communication with intake/enrollment related to member’s eligibility status. Post visit communication with members of care management and care planning teams.
• Initiates development and coordination of a safe plan of care with member/family to meet all members’ needs; coordinates with rest of care management team.

• Demonstrates autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.
• Proficiency in the use of office equipment, Microsoft Office Suite and Electronic Health Records system.
• Documentation of UAS-NY and visit notes including progress note and PCSP.
• Communication of members’ needs and identified care plan to members’ care manager.
• Attends professional and required in-service programs and staff meeting.
• Participates in the agency QA Program, as requested.
• Is available to cover shifts for other nurses as necessary and reasonably able.
• Performs assessments and completes documentation within the time frames set forth by the Agency.
• Participates in mandatory staff meetings.
• Meets productivity requirements as set forth by Agency.
• Travels as required as set forth by Agency.
• Other assignments within the RN scope of practice.

Specific Knowledge, Skills, and Abilities:

•Knowledge of NYS requirements specific to MLTC enrollment and marketing guidelines preferred.
•Demonstrates excellent communication, negotiation, organizational and public relations skills.

Required Education, Experience, and Licenses: 

• The appropriate background in health care and/or long term care.
• NY RN License (Unrestricted)

• Active access to Health Commerce System

Benefits:

• Medical, dental, and vision insurance
• Generous PTO package
• Multiple floating holidays
• 401 (K) with employer contribution

RN with UAS Assessment experience