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Aetna UAS Assessment Field RN - Bilingual Preferred in New York, New York

Req ID: 60947BR

Job Description

  • Perform field assessments using the UAS-NY tool

  • Conduct face to face assessments of members and potential enrollees utilizing the UAS-NY assessment tool for functional status, medical, behavioral, psychological, and community resource needs.

  • collaborate with members of the care management team as needed to assist with care planning.

  • determine members eligibility for MLTC services

  • Utilize LENAVI tool

#LT-TS1

Fundamental Components included but are not limited to:

Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Qualifications Requirements and Preferences:

Case Management in an integrated model; Preferred

Bilingual Fluency in Spanish, Russian, Cantonese, or Mandarin Language; Preferred

3+ years clinical practice experience; Required

RN with current unrestricted state licensure; Required

UAS-NY field assessment experience; Required

Licenses/Certifications:

Nursing - Registered Nurse (RN)

Functional Skills:

Nursing - Case Management

Technology Experience:

Desktop Tool - Microsoft Outlook

Additional Job Information:

working environment with productivity and quality expectations

Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

talking on the telephone and typing on the computer.

Ability to multitask, prioritize and effectively adapt to a fast paced changing environment

Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Effective communication skills, both verbal and written

Benefit Eligibility

Benefit eligibility may vary by position.

Job Function: Health Care

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.

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