Senior UAS LTSS Assessor, RN

This is a fully remote position, open to applicants in New York.

📋 Description

• Execute care management responsibilities for individuals with complex/high-acuity medical and physical health needs.

• Perform UAS Assessments for members enrolled in the MLTC program with Fidelis.

• Assess service requirements and propose plans to achieve optimal outcomes.

• Create and continually evaluate long-term care and service strategies.

• Work in partnership with care management teams to identify healthcare providers, specialists, and community resources.

• Coordinate with members, their families/caregivers, and care provider teams to ensure a person-centered approach to care.

• Monitor member conditions, complications, symptoms, progress of care plans, and any changes in health status.

• Analyze member data, referrals, and intake assessments to enhance care quality and operational performance.

• Collaborate with healthcare professionals to facilitate services and treatments while adjusting care plans as necessary.

• Gather, document, and maintain member data and records of care management efforts.

• Inform members and their families/caregivers about disease processes, care gaps, provider instructions, available care options, referrals, and healthcare benefits.

• Serve as a liaison and advocate among members, families, physicians, facilities, and agencies.

• Organize community resources and service authorizations for services including meals, employment, housing, foster care, transportation, and daily living activities.

• Conduct home and/or other site evaluations as needed.

• Collaborate with leadership to enhance care quality and deliver cost-effective services.

• May mentor and train new clinical hires, assist with onboarding, and evaluate readiness for competency.

• Undertake additional responsibilities as assigned while adhering to all policies and standards.

⛳️ Requirements

• Reside in either Orange or Rockland County, New York.

• Current NY RN Licensure is required, or NP with active state nursing licensure.

• Must be a graduate of an Accredited School of Nursing OR possess a Bachelor's degree along with 4–6 years of relevant experience.

• A Bachelor's degree in Nursing is preferred.

• Experience in conducting UAS Assessments for MLTC members is necessary.

• Familiarity with care management, long-term care planning, service coordination, and healthcare benefits is essential.

• Capability to evaluate complex/high-acuity populations and coordinate medical and supportive services.

• Ability to perform home and/or other site visits.

• Must adhere to state, federal, and clinical guidelines.

• Proficiency in educating members and their families/caregivers on disease processes, care options, referrals, and available benefits.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off along with holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentive programs may be included in overall compensation.

• An equal opportunity employer dedicated to fostering diversity.