Conducts home/facility visits to perform a comprehensive health re-assessment regarding clinical, behavioral and home safety requirements on existing members in the community as required by the state for the Managed Long Term Care program.
Conducts home/facility visit(s) for comprehensive health re-assessments regarding clinical, behavioral and home safety requirements on existing members.
Identifies applicant's health needs and completes medical assessment of applicant.
Tracks assessment schedule and updates assessments in a timely manner.
Initiates direct communication with health care providers involved in care of the applicant to obtain complete and accurate information as needed.
Collects information concerning ongoing eligibility.
Coordinates with Care Management team and provides updates regarding member health status.
Inputs visit and assessment data into systems
Adheres to all HIPPA standards and confidentiality requirements.
Performs other duties as assigned.
Valid Drivers license may be required
Required An Associate's Degree in Nursing or related field
Preferred A Bachelor's Degree in Nursing or related field
Required 2 years of experience in a clinical acute care setting, preferably in home health and/or geriatrics
Intermediate Ability to work independently
Intermediate Ability to multi-task Ability to work independently, handle multiple assignments and prioritize workload
Intermediate Demonstrated time management and priority setting skills
Intermediate Demonstrated interpersonal/verbal communication skills
Intermediate Ability to create, review and interpret treatment plans
Advanced Ability to effectively present information and respond to questions from families, members, and providers
Intermediate Knowledge of healthcare delivery
Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Licenses and Certifications: A license in one of the following is required:
Required Licensed Registered Nurse (RN)
Preferred Other Field work preferred
Required Intermediate Microsoft Word
Required Intermediate Microsoft Excel
Required Intermediate Microsoft Outlook
Required Intermediate Healthcare Management Systems (Generic)
Preferred Other bilingual skills
About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.