*** THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS (restrictions may apply) *** We have a fleet vehicle program available that supports this clinical role!In this role, you will assess prospective enrollees and existing members to determine plan eligibility and develop person-centered care plans that support long-term health and independence. You will be a key liaison between members, families, and care teams, ensuring services align with regulatory requirements and individual care needs. This is a full-time role that supports business schedule of Monday through Friday from 8am- 4:30pm.
Performance Responsibilities and Standards:- Conduct in-home and virtual assessments of prospective and current health plan members.
- Evaluate clinical needs, functional and behavioral health status, and social determinants of health using UAS-NY and other assessment tools.
- Educate members, families, and caregivers on plan benefits, rights, responsibilities, and services.
- Develop person-centered service plans that identify unmet needs and recommend appropriate supports and services.
- Use motivational interviewing and active listening to understand member goals and build trust.
- Review member materials, including handbooks, provider directories, and covered services.
- Maintain detailed documentation in the electronic medical record (EMR) and follow internal quality protocols.
- Communicate and coordinate with care managers, providers, and other interdisciplinary team members.
- Ensure all assessment activities comply with DOH and Medicaid Managed Long-Term Care (MLTC) regulations.
- Attend staff meetings, trainings, and participate in departmental quality improvement initiatives.
- Serve as a professional representative of Nascentia Health Options in the community.
- Meet or exceed productivity and scheduling standards.
Qualifications:- License: Registered Nurse (RN) licensed and in good standing in New York State
- Education: Associate degree in Nursing required; BSN preferred
- Experience:
- Minimum 1 year of nursing experience preferred
- Experience with UAS-NY assessments strongly preferred
- Knowledge of long-term care, home care, Medicaid/Medicare preferred
- Skills:
- Strong verbal and written communication skills
- Proficiency in Microsoft Office and ability to learn EMR systems
- Independent, detail-oriented, and able to manage a flexible schedule
- Bilingual abilities a plus
- Other:
- Valid NYS driver's license and reliable transportation
- Ability to drive and work in various environmental and weather conditions
Work Environment & Physical Requirements:- Hybrid role: Primarily home-based with required in-home member visits and occasional in-office meetings
- Must be able to sit, walk, stand, drive, and perform data entry throughout the day
- Ability to lift up to 20 lbs frequently and up to 50 lbs occasionally
- Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
- Requires sensory acuity for communication, observation, and documentation
Compensation & Benefits:Competitive SalaryThis is a per-visit position with an estimated annualized range of
$80,000-$100,000+, based on visit volume*.
*Actual compensation will vary depending on the number of completed visits per pay period. A minimum average of 20 visits per pay period is required to maintain full-time status.
- $15,000 sign-on bonus ** (restrictions may apply)
- Retention bonuses
- 401k with generous Employer match
- Medical, Dental, Vision plans
- Tuition Reimbursement for BSN after 6 months of employment
- Exceptional work/life balance - no rotating shifts, holidays or weekends
- Partially funded HSA
- Employee Recognition Platform
- Paid Time Off, Holidays, and Extended Sick Leave
- Short/Long term Disability
- Employee Assistance Program (EAP)
- Much More!
