Description
Lead Registered Nurse Evaluator (Hybrid/Remote - New York)Description & RequirementsMaximus is currently hiring for a Lead Registered Nurse (RN) Evaluator to support our C-YES Program (Children & Youth Evaluation Service). The incumbent in this position is a subject matter expert on the CANS-NY regarding HCBS/LOC eligibility assessment for C-YES and serves as a role model, mentor, and resource for the Nurse Evaluators. About Children & Youth Evaluation ServiceThe Children and Youth Evaluation Service (C-YES) is a New York State Program that determines Home and Community Based Service/Level of Care (HCBS/LOC) eligibility for youth with medical, behavioral, and/or developmental needs aged 0-21 years. The C-YES program also provides Medicaid application assistance services to children who appear HCBS eligible and are either without Medicaid and/or have Medicaid but opt out of HH Care Management. C-YES also develops person-centered Plans of Care (POCs) and provides ongoing HCBS service coordination for those families who elect to remain with C-YES and opt out of more comprehensive case management provided by Health Home Care Management Staff. HCBS are meant to help youths remain in their community as opposed to going to a higher level of care (i. e., facility or institution). A Care Coordination team comprised of Nurse Evaluators and Family Support Coordinators are responsible for ongoing support to all families referred to C-YES. **This is a hybrid remote position that will support Downstate New York. Travel will be required at times and will include home visits for assessment purposes. Essential Duties & Responsibilities:- Responsible for conducting clinical appointments and precepting new clinicians- Maintain current knowledge of regulatory changes pertaining to quality and validity of assessments- Assess cases presented and utilizes clinical competencies to review and validate assessment outcomes- Work collaboratively with manager to identify areas for improvement with process and quality of care- Suggest training needs for assigned unit staff- Provide technical assistance to assigned unit staff- Support Company and project initiatives through various methods including messaging to the unit, leading assigned projects, training staff, participating in work groups, etc.- Participate in performance, improvement, and quality assurance activities and related meetings- Provide clinical and educational support to meet program goals- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position-Performs in-home and telehealth evaluations of patients that includes evaluation of pediatric consumers with a Serious Emotional Disturbance (SED) diagnosis or Medical Fragility (MF) diagnosis ages 0-21 years- Establishes and maintains positive relationships with consumers, caregivers, and all providers- Maintains updated knowledge of the UAS-NY CANS HCBS/LOC Assessment process.- Review's consumer supporting documentation and/or referral forms, as relevant to the consumer case.- Enters evaluation data into the electronic HCBS/LOC Eligibility assessment.- Ensures completeness and accuracy of the HCBS/LOC Eligibility Assessment.- Documents any concerns, conflicting information, or other issues that surface during the evaluation process.- Emphasizes continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in Plan of Care.- Facilitates, mentors, and assists new C-YES Nurse Evaluators to meet the essential functions of the Nurse Evaluator role.- Conducts C-YES appointment visits with new Nurse Evaluators to provide demonstration and education. Instructs, demonstrates, observes assessment skills and techniques, and provides feedback to the Regional Nurse Manager.- Maintains and meets/exceeds set productivity standards.- Raises issues of concern and training needs to the Regional Nurse- Assists the Regional Nurse Manager in providing assessme
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
Apply on company website
Find Connections via Linkedin
