Description
This position will serve members in New York virtually, working from your home-based office. Must live within commutable distance to our Lake Success NY Office.
The Care Plan Nurse has expertise in developing person-centered service plans (PCSP). This plan will reflect the individual’s needs, preferences, and goals in receiving services to maximize independence and community integration. The plan will also incorporate social and cultural considerations. This role will also be responsible for participating in enrollment of potential members and the completion of other assessments for both potential and existing members. The Care Plan Nurse is a remote role working from home.
Primary duties may include but not limited to:
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Participate in enrollment activities per organization and regulatory MLTC policies which includes completing enrollment documents
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Review and utilize the Community Health Assessment (CHA) in HCS/UAS-NY on potential enrollees/existing members to develop the PCSP
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Assess potential enrollees/existing members physical, social, and mental health status, needs, preferences and abilities to develop the PCSP
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Collaborate with the Care Management team as needed to assist in the development of the Person-Centered Service Plan
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Review medications and diagnosis, update accordingly
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Review & utilize the CHA for members post Transitions of Care to develop a PCSP
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Complete other assessments and documentation, such as falls and home assessments, for initials, ad hoc and routine assessments
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Document clinical information in members EHR adhering to policies and procedures
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Scheduling member visits
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Ability to perform other duties as assigned
Requirements:
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Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
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Current, unrestricted RN license in applicable state(s) required.
Preferred Qualifications
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Bilingual - Spanish, Korean, Chinese (Mandarin, Cantonese), Russian, Bengali preferred
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MA/MS in Health/Nursing preferred.
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May require state-specified certification based on state law and/or contract.
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Occasional travel or hybrid work option to Lake Success office may be required
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.