Uniform System Assessor Nurse (RN) - must be licensed in the state of NY

Provides support for the completion of the Community Health Assessment (CHA) - formerly the UAS (Uniform Assessment System), initial assessments and reassessments based on New York state requirements, guidelines, and training provided by the company and/or outside resources. Completes enrollment paperwork materials required to appropriately process member applications for enrollment and CHA tasking tool in alignment with guidelines and training provided by the company and/or outside resources. Facilitates correction and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality/review process. This position is member facing and requires visits to members at their home or facility. Completes approved New York State initial assessment tool and/or clinical reassessment used to define eligibility for community-based long-term care services for members. - reviews all data collected for accuracy and completion prior to submission. - Charts all contacts and findings within appropriate tool and form per policy and procedure and within established deadlines. - Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking tool. - Focuses on continuous improvement and quality excellence in the completion of all materials associated with the initial enrollment/continued enrollment of members in the plan. - Supports initiatives of the quality assessment and performance improvement committee. - Performs daily local travel in the assigned local territories (based upon state/contractual requirements). At least two years of clinical experience in managed care - including case management and home visit experience, or equivalent combination of relevant education and experience. - Registered Nurse (RN). Must reside in the state of New York or neighboring states (NJ, CT, parts of PA). Must be able to travel to multiple boroughs via car or commuting public transportation. - Understands and applies principles of care management and person-centered planning. - Organizational skills, and ability to prioritize and follow through on multiple projects in a timely manner. - Microsoft Office suite and applicable software programs proficiency. Certified Case Manager (CCM) or Chronic Care Professional (CCP). - Home care or long-term care experience. - Community support service experience accessing and using durable medical equipment (DME). - Experience in utilization review, concurrent review and/or risk management. - Bilingual or multi-lingual. - Ability to commute as needed to meet with members in person at their home or facility. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #Pay Range: $24 - $56.17 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.