보험심사 간호사란?보험심사간호사는 환자의 집에 방문하여 뉴욕통합평가시스템(UAS-NY)을 기반으로 환자의 건강상태, 체력, 간호의 필요성과 선호도 등을 평가하며, MLTCP(Manged Long Term Care Plan)를 통해 건강상의 위험 요인들에 대한 평가를 진행하여 환자들이 적절한 시기에 적합한 케어를 받을 수 있도록 돕는 역할을 합니다.
Responsible for assessing patient’s health status, strengths, care needs, and preferences using the Uniform Assessment System for New York (UAS-NY) and other health risk assessments per Managed Long Term Care Plan(MLTCP)’s requirements. Guides in the development of the Person Centered Service Plan in coordination with Care Management/Interdisciplinary Care Team. Helps to improve care coordination and facilitates service delivery. Ensures members/participants are receiving the right care, with in the right setting and at the right time.
People who graduate and achieve Associate Degree in Nursing or Bachelor Science in Nursing
People who obtain NCLEX-RN license
Effective oral, written, and communication skills required
Minimum one year experience(Med-Surgical experience preferred) or Candidates with one or more years of assessment in insurance service companies
Terms of a contract
AgeWell New York
AgeWell New York is committed to meeting the health care coverage needs of the communities we serve. Our plan options support our member’s independence and help manage their health and personal care needs to maintain their overall well-being to encourage them to live well, feel well and age well in New York.
Integra Partners is a Durable Medical Equipment, Prosthetics, and Orthotics Supplies (DMEPOS) benefit management company that connects providers, health plans and patients seeking efficient, high-quality care. We are neither an insurance company nor a provider; we’re a benefit manager, and we’re focused on connecting the best providers to health plans and their members.
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and rehabilitation services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has provided health care services to individuals residing within New York City for over 40 years.
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