Assessment Registered Nurse - MLTC

*** 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!

Nascentia Health Options seeks a compassionate and detail-oriented Registered Nurse to join our team as an Assessment RN. 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