Sep 13, 2019

LTC Field Clinical Assess Spec

  • Professional Diversity Network
  • New York, NY, USA
Full-Time Nurse

Job Description

WellCare Health Plans

Reports To: Sr Manager, LTC Clinical Programs

Department: NY-Sales-LT Care

Position Location: New York, New York

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.

Essential Functions:

  • 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.
Additional Responsibilities:
  • Valid Drivers license may be required

Candidate Education:

  • Required An Associate's Degree in Nursing or related field
  • Preferred A Bachelor's Degree in Nursing or related field
Candidate Experience:
  • Required 2 years of experience in a clinical acute care setting, preferably in home health and/or geriatrics
Candidate Skills:
  • 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
Technical Skills:
  • 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 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.



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