A health services network in New York City is currently seeking a licensed Registered Nurse (RN) to join their team in the Queens as a Community Health Nurse.
In this role, the Community Health Nurse (RN) will be responsible for directly guiding a prospective participant through the clinical onboarding process leading to enrollment within the network.
Responsibilities:
The Community Health Nurse (RN) will:
Educate prospective participants on plan benefits, services, and care delivery model Assist with administrative functions of the program, including but not limited to, following up on referrals and appointments, as well as tracking and reporting of daily activities Work closely with the intake operational team regarding in-home or virtual assessment appointments with prospective participants Conduct the pre-enrollment UAS and determines the eligibility of the prospective participant Work with the Quality Review team to ensure the accuracy and completeness of all necessary documentation Develop the Service plan and obtain enrollment agreement documentation during a home visit or other setting agreed upon with the prospect Advise on operational process improvements that may positively impact enrollment turnaround, scheduling logistics, expense/financial-related efficiencies, engagement strategies, reporting, and other critical touchpoints Document all interactions and outcomes in the designated clinical management / electronic record system Regularly review key performance metrics and analytics to improve process flows and/or quality of work Support new staff with onboarding to ensure supportive, collaborative, and efficient transition of new staff to the Clinical Intake Team Perform other tasks, as required Qualifications: Prior experience in MLTC, LTTHCP, and/or Managed Care program Graduate of an accredited School of Nursing NYS Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills: Bilingual Experience working with the Geriatric population