Enrollment Nurse - Adult Day PACE clinic UAS-NY exp M-F days
Fallon Health · Buffalo, NY · 2 mo ago
Healthcare$85k–$90k/yrFull-time
Responsibilities
- Participates in establishing monthly goals for enrollment
- Responds to individual inquiries regarding Fallon HealthWeinberg, including but not limited to, phone calls, web site inquiries, home visits, hospital and nursing home visits
- Reviews the enrollment process and the Fallon Health Weinberg Care Member Handbook with potential members/families
- Completes the UAS-NY, estimates whether individual meets clinical criteria for enrollment, and submits UAS-NY
- Develops and communicates initial Care plan for new members into the MLTC
- Communicates with the Care Teams to provide information for enrollment decisions and provides ongoing communication with referral sources, potential enrollees/families during the intake process
- Closely monitors progress of pre-enrollment activities and notifies the Program Director of potential issues
- Provides referrals for individuals not appropriate for FHW and for those who choose not to enroll
- Participates in weekly intake meetings
- Identifies Quality Improvement issues to the Program Director and participates in the development and implementation of the FHW Quality Improvement Plan as directed
- Affirms uniformity in data collection
- Prepares monthly reports regarding referrals and enrollments
Qualifications
- Education: Degree in Nursing; BSN preferable
- License: RN, current license to practice in New York
- Experience: Minimum of 2 years experience working with the elderly, preferably in a community setting
- Knowledge: Desireable knowledge of UAS-NY Assessment process and Medicaid eligibility requirements
Pay
In accordance with the Massachusetts Wage Transparency Act, the pay for this position is $85,000-$90,000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role's responsibilities.