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

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

Review consumer medical documentation and health referral forms relevant to each case.

Enter evaluation data into electronic evaluation forms and transmit as required.

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

Emphasize continuity of care to reduce or eliminate fragmentation, duplication, and gaps in treatment plans.

Discuss health care options, supports needed, and service vendor 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 collaboration 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, payer requirements, and network services for the target population.

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

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