Aetna UAS Assessment Field RN - Bilingual Preferred in New York, New York
Req ID: 60947BR
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
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
Nursing - Registered Nurse (RN)
Nursing - Case Management
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 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.