Travel Nurse RN - Home Health Med Surg
New York, NY
Trusted Talent
Flexible

Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long-term care service plans.

Review consumer medical documentation and health referral forms, as relevant to the case.

Enter evaluation data into electronic evaluation form and transmit, as required.

Document any concerns, conflicting information, or other issues that surface during the evaluation process.

Emphasize continuity of care, reducing or eliminating fragmentation, duplication, and gaps in the treatment plan.

Discuss health care options, supports needed, service vendor options, and waiver options with consumers.

Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan.

Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery.

Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM.

Identify opportunities for health promotion and illness prevention.

Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for the target population.

Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template.

Perform other duties as may be assigned by the Regional Nurse Manager or other project management.