Field RN Position- Mobile Position in Newark, NJ

Field RN Position- Mobile Position for Union and Hudson County

Role Notes:

Temp to Perm potential

• "" role; The role is considered a Field role and does not involve going into the office, rather traveling for assessments in the North NJ area (Union and Hudson Counties)
• A Valid Driver License is needed
• Worker will do first two weeks of training at the Hopewell location
• Reimbursement for mileage is available
• Hours are (8-5/9-5) and the worker will be visiting on average 3/4 members a day for assessments
• This is a very independent role, the worker will need to be a self starter, that is very organized, Tech and Computer fluent, and great at taking detailed notes.
• This role is only available for RNs please do not submit LPNs for this opportunity

Job Summary:

• This field based position is responsible for performing assessments for PCA and MDC services using established guidelines and assessments to ensure appropriate level of care and services are authorized.

Responsibilities:

• Assesses patient's clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate to members needs and aligned with benefit structure.
• Evaluates the necessity, appropriateness and efficiency of service provided.
• Develops, coordinates and assists in implementation of services to meet the needs of the members.
• Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
• Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
• Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
• Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
• Refers members to MLTSS when appropriate.
• Educates members on the availability of SNP if appropriate.
• Documents accurately and comprehensively based on the standards of practice and current organization policies.
• Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care.
• Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
• Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
• Completes other assigned functions as requested by management.
• Performs duties as assigned by management.

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