Hours - 40 hours/week. Shift - 8:30 AM - 5 PM (M - F and 1 & sat in a month) Assessment - 3 days inperson assessment rest 2 days documentation work and telephonic assessment. JOB SUMMARY:
- Working in the community conducting strength-based assessments for families who have children (ages 0-21) with behavioral health/psychiatric issues. All nurses are provided support and education for ongoing professional development and annual certification in the CANS-NY assessment tool.
- The assessments will be the basis for family-driven Plan of Care (POC) development to support the family's access to Home and Community Based Services (HCBS). The Nurse Evaluator will conduct 1-2 assessments a day and work with a Family Support Coordinator to meet the family's case management needs specifically related to the HCBS POC.
- This position is field based with some initial training provided in Manhattan area.
JOB RESPONSIBILITIES 1. Develop Home and Community Based Services (HCBS) Plan of Care (POC) in collaboration with child and family that includes evaluation of health status. 2. Perform initial in-home evaluations of children that includes evaluation of health status, strengths, care needs, and preferences and guide the development of individualized longterm care service plans. 3. Review child's medical documentation and or health referral forms, as relevant to the case. 4. Utilize the State CANS assessment tool and case management systems to document the child's health status, strengths, care needs, diagnoses and preferences and transmit, as required. 5. Properly document any concerns, conflicting information, other issues that surface during the evaluation process. 6. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan. 7. Discuss with child/family health care options, supports needed, service vendor options and waiver options. 8. Update plans of care as per State requirements, and on an as needed basis. 9. Collaborate with Family Support Coordinators to meet the needs of the family. 10. Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery. 11. Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM. 12. Provide relevant information in response to the child's specific needs as a bridge between when the in-home evaluation is conducted, and evaluation results are provided. 13. Maintain a comprehensive working knowledge of community resources and network services for target population. 14. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position. 15. Performs other duties as may be assigned by the Regional Manager or other project management. Required Education: Graduate of an accredited nursing program Preferred Education BSN in Nursing and/or equivalent certification Required Licensure Current RN Licensure in New York State Required Experience 2+ years of relevant experience as RN. Preferred Experience:
- Home care experience using the UAS-CANS-NY system or like the UAS such as OASIS. Experience in assessments that are conducted face to face, telephonically or telehealth.
- RN experience in homecare/psychiatric/behavioral health/pediatrics/adolescent/foster care settings/group home/school nurse/care management. Consistent technological experience using computer systems for assessments/word processing tasks. Experience in developing Plans of Care.
Required Skills: Ability to review health status questions and make evaluations and determinations based on the UAS-CANS-NY system criteria for enrollment; ability to work with technology in the workplace; knowledge of the theory, principles, and practices of general professional nursing; knowledge of state and agency laws and regulations governing general professional nursing practices; excellent organizational, interpersonal, written, and verbal communication skills; ability to communicate and work effectively with multi-generational consumers; ability to demonstrate sensitivity to the concerns of others; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; and a strong ability to work independently Preferred Skills: Knowledge of motivational interviewing techniques Bilingual May be required in commonly spoken languages such as Spanish, Russian, Haitian - Creole, Chinese Other Travel required; NY State Driver's license required; vehicle may be required depending on the region of coverage T ravel required; NY State Driver's license required; vehicle may be required depending on the region of coverage
