(RN)Uniform System Assessor Nurse (NYC Native Journey Required) at Molina Healthcare

Job Description

Job Summary

Provides assist for the completion of the Community Health Assessment (CHA) – previously the UAS (Uniform Assessment System), preliminary assessments and reassessments based mostly on New York state necessities, pointers, and coaching offered by the corporate and/or exterior assets.  Completes enrollment paperwork supplies required to appropriately course of member purposes for enrollment and CHA tasking instrument in alignment with pointers and coaching offered by the corporate and/or exterior assets.  Facilitates correction and revision of CHA paperwork and tasking instrument documentation based mostly on evaluation and suggestions offered via high quality/evaluation course of.

Job Duties

• Completes authorized New York State preliminary evaluation instrument and/or medical reassessment used to outline eligibility for community-based long-term care providers for members.
• Completes enrollment paperwork, progress notes and tasking instrument in member houses to help in figuring out eligibility for providers; evaluations all knowledge collected for accuracy and completion previous to submission.
• Charts all contacts and findings inside applicable instrument and type per coverage and process and inside established deadlines.
• Attends coaching and persevering with schooling classes centered on the correct completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking instrument.
• Focuses on steady enchancment and high quality excellence within the completion of all supplies related to the preliminary enrollment/continued enrollment of members within the plan.
• Supports initiatives of the standard evaluation and efficiency enchancment committee.
• 25- 40% estimated native journey could also be required (based mostly upon state/contractual necessities).

Job Qualifications

Required Qualification:

• At least two years of medical expertise in managed care – together with case administration and residential go to expertise, or equal mixture of related schooling and expertise.
• Registered Nurse (RN).  License should be lively and unrestricted in state of follow (NY).
• Must reside within the state of New York or neighboring states (NJ, CT, elements of PA). Must have a NY state authorities ID.
• Trained and educated within the New York Uniform Assessment System (UAS). 
• Must be capable of journey to a number of boroughs through automobile or commuting public transportation.
• Understands and applies ideas of care administration and person-centered planning.
• Solid evaluation abilities.
• Understands and applies protection pointers and profit limitations.
• Familiar with medical wants and illness processes for power bodily and behavioral diseases.
• Understands and adapts appropriately to points associated to member communication, cognitive or different limitations.
• Organizational abilities, and skill to prioritize and comply with via on a number of tasks in a well timed method.
• Effective verbal and written communication abilities.
• Microsoft Office suite and relevant software program applications proficiency.  

Preferred Qualification:

• Certified Case Manager (CCM) or Chronic Care Professional (CCP). 
• Home care or long-term care expertise.  
• Community assist service expertise accessing and utilizing sturdy medical tools (DME).
• Experience in utilization evaluation, concurrent evaluation and/or danger administration.
• Bilingual or multi-lingual in Chinese (Mandarin or Cantonese), or Spanish. 

To all present Molina staff: If you have an interest in making use of for this place, please apply via the Internal Job Board.

Molina Healthcare presents a aggressive advantages and compensation bundle. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.                                                                                     

Pay Range: $24 – $56.17 / HOURLY
*Actual compensation might differ from posting based mostly on geographic location, work expertise, schooling and/or ability stage.

Molina Healthcare is a nationwide fortune 500 group with a mission to offer high quality healthcare to individuals receiving authorities help. If you might be in search of a significant alternative in a team-oriented atmosphere, come be part of a extremely engaged workforce devoted to our mission. Bring your ardour and abilities and collectively we will make a distinction within the lives of others. Molina Healthcare presents a aggressive advantages and compensation bundle. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time

Posting Date 04/24/2026