Job Description

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 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 members 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. 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. Essential Responsibilities: 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.

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