Overview:

Responsible for assessing prospective enrollees and active health plan members to determine potential care needs and plan eligibility.

This position is on a part-time, as needed basis. Assessments will be conducted in the member's home, according to their schedule.

Responsibilities and Standards:

• Makes virtual or in-person visits to potential enrollees and active members of health plan as assigned.
• Provides an overview of program benefits to an applicant, family member(s), and caregiver(s).
• Informs consumers and members of their rights, responsibilities, and services.
• Interviews members, family members, and/or significant others identified through case finding to assess needs for services.
• Reviews the member handbook, provider directory, and services covered during the visit.
• Reviews and evaluates previous assessment information.
• Performs all assessment activities in compliance with all regulatory agency requirements; completes required documentation and develops the initial or updated plan of care.
• Assists in determining unmet needs to be met by creating a person-centered service plan. Design a person center service plan driven by assessment determining appropriate and necessary services to meet unmet needs.
• Communicate effectively with potential members, their families, care management staff and providers.
• Collaborate with the health care team regarding potential enrollee’s needs.
• Collect information regarding eligibility, benefit coverage, and coordination of benefits.
• Scan in all pertinent documentation to the EHR system
• Input visit and assessment data into required EHR systems
• Participate in departmental meetings and attend all scheduled staff meetings and training as applicable.
• Adhere to all state and federal privacy regulations, including HIPAA and Crane Home Care policies and agreements regarding confidentiality, privacy, and security.
• Maintains accurate scheduling information

Requirements:

• Nursing: License and current registration as a Registered Professional Nurse in New York State.
• Education: BSN preferred; Associate degree required.
• Long-term care and/or managed care experience required.
• Knowledge of homecare, Medicare, and Medicaid preferred.
• Ability to work independently and prioritize workload.
• Computer literate and working knowledge of basic computer skills and Microsoft Office programs.
• Strong communication skills person to person and by phone.
• Valid NYS driver’s license and ability to drive in all types of weather.
• Ability to learn the organization’s software system to perform job duties.

Physical Requirements:

• Standing, sitting, bending, walking, and driving (frequently entering and exiting vehicle throughout the day) are standard postures.
• Frequently uses a laptop computer to enter orders and obtain product information.
• Sensory requirements include speech, vision, smell, and hearing.
• Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally

- Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.

Crane Home Care provide equal employment opportunities to all. We celebrate the qualities that make each of us unique and greatly value how they enrich the work we do. As such, we welcome candidates of color, candidates who identify as gender diverse, neurodiverse candidates, and candidates of all ages with diverse lived experiences and perspectives to apply.