AltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Westchester County
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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Read LessAltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Queens, NY
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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AltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Hudson Valley Region (Orange, Rockland, Ulster, Sullivan County)
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
#ZR
Read LessAltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Kings County (Brooklyn)
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
#ZR
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AltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Manhattan, NY
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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AltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Bronx County
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
#ZR
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AltaStaff is a staffing agency currently looking for Registered Nurses to complete Clinical Assessments to New York State Residents.
REGIONS TO COVER: Staten Island, NY
AltaStaff offers:
Salary: Up to $103k annually
401k with Employer Match
3 weeks of Paid Time Off
Health, Dental, Vision Benefits
JOB SUMMARY
RN's will be conducting in-field assessments.
Ability to review health status questions and make evaluations and determinations based on UAS 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.
JOB RESPONSIBILITIES
1. Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
2. Review consumer medical documentation and or health referral forms, as relevant to the case
3. Enter evaluation data into electronic evaluation form and transmit, as required
4. Document any concerns, conflicting information, other issues that surface during the evaluation process
5. Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
6. Discuss with consumer on health care options, supports needed, service vendor options and waiver options
7. Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Required Licensure
Current RN Licensure in New York State
Current active NY Drivers License or NY State ID
Required Experience
2+ years RN experience in home care
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
#RNCM1
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AltaStaff is a staffing agency currently looking for a RN/LPN Care Review Clinician I to work with our Managed Care Client!
Pay Rate: $40 - 43.00 hourly
Schedule: Monday-Friday, 8:30am - 5pm EST (some flexibility with start/end times)
***This is a fully remote role but candidates must reside in Michigan and have LPN or RN license in Michigan***
Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review aimed at providing members with the right care.
Completes/reviews authorizations, reviewing faxes that can be 50-100 pages long
Will be expected to manage 25-30 cases successfully daily.
Should be able to quickly and accurately determine whether the criteria meet medical necessity.
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.
Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and
guidelines.
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Additional duties assigned
Education/Experience:
RN or LPN License required
Must have 3+ years clinical practice experience (hospital, case management, utilization management)
Must have 2+ yrs Utilization Management experience; MCG experience preferred
Experience with inpatient reviews, post-acute care reviews, and prior authorizations highly preferred
Must be able to work in a fast-paced environment
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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Read LessAltaStaff is a staffing agency currently looking for a RN/LVN Care Review Clinician I to work with our Managed Care Client!
Pay Rate: $40.00 - 43.00 hourly
Schedule: Monday-Friday, 8 AM to 5 PM
***This is a fully remote role but candidates must have a RN or LPN/LVN in Texas***
Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review aimed at providing members with the right care.
Completes/reviews Inpatient Authorizations, reviewing faxes that can be 50-100 pages long
Will be expected to manage 25-30 cases successfully daily.
Should be able to quickly and accurately determine whether the criteria meet medical necessity.
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.
Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and
guidelines.
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Additional duties assigned
Education/Experience:
RN or LPN/LVN license in Texas required
Must have 2+ years clinical practice experience (hospital, case management, utilization management)
Must have 1-2 yrs Utilization Management experience; MCG experience preferred
Experience in prior authorizations and/or behavioral health outpatient services
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
#ZR
Read Less***This is a position with Face-to-Face assessments. We are hiring for Onondaga County***
***Offering $95.00 hourly***
***Flexible Schedule***
AltaStaff is currently hiring 1099 Independent Contractors - Nurse Practitioners NP-C to review UAS Assessments all over NYS! Join our dynamic team!
JOB SUMMARY
Responsible for reviewing and making recommendations on consumer assessments for long term care services and supports
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 to monitor and address clinical quality and gaps in care
Provide clinical and educational assistance to support project initiatives
Demonstrate communication skills necessary to interpret age-specific responses
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
Perform other duties as may be assigned by Management
Required Licensure
Current NY Nurse Practitioner Licensure
Proof of Board of Certification
Proof of Malpractice Insurance showing professional liability coverage of 1M per incident/3M agg
Required Experience
2+ years practicing experience as a Nurse Practitioner
Computer literacy and the ability to navigate new and emerging technology
Must meet BYOD requirements
Highly developed written and oral communication skills; strong interpersonal skills
Ability to work in a fast-paced and changing environment with proven ability to work with community groups
Required Vaccinations and Records
Upon credentialing all candidates will need the following or willingness for the following vaccinations.
Physical exam signed and dated by a physician within the last year
PPD or QuantiFeron (within 1 year) or chest X-ray with Questionnaires (every 5 years)
TDAP within 10 years
Quantitative Titers for MMR & Varicella
Hepatitis B vaccination schedule or Declination Form Also Accepted
Proof of Covid19 Vaccine
Proof of Flu Vaccine
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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