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Field Nurse Evaluator (Kingston)

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Maximus

Maximus

Field Nurse Evaluator (Kingston)

Kingston, NY
Full Time
Paid
  • Responsibilities

    Description & Requirements

    Field Registered Nurse (Kingston, NY)

    Location - Kingston, New York

    Annual Base Pay - $90,000-$100,000

    Schedule - Full time schedule available, with hybrid remote work setting

    Delivering Care, Managing Assessments, Supporting Every Patient!

    Are you passionate about providing quality care and making a difference in children’s and adolescents’ lives? Maximus is seeking Field Registered Nurses to join our team.

    About the Role:

    Maximus is currently hiring for a Field Registered Nurse - Home Care to support our C-YES Program. (Children and Youth Evaluation Services).

    This is a full time, hybrid-remote position that will require travel throughout territories of Kingston, Oneonta, Newburgh, and Middletown, New York.

    Maximus has partnered with the New York State Department of Health to establish the Children and Youth Evaluation Service (CYES) program to determine whether a child or youth is eligible for home and community-based services (HCBS) covered by Medicaid. The Field Nurse Evaluator will be working in the community conducting strength-based assessments for families who have children (ages 0-21) with behavioral health/psychiatric issues. All nurses are provided support and education for ongoing professional development and annual certification in the CANS-NY assessment tool. The assessments will be the basis for family-driven Plan of Care (POC) development to support the family’s access to Home and Community Based Services (HCBS). The Nurse Evaluator will conduct 1-2 assessments a day and work with a Family Support Coordinator to meet the family’s case management needs specifically related to the HCBS POC.

    Key Responsibilities:

    • Assessments: Perform in-home visits to assess children that includes evaluation of health status, strengths, care needs, and preferences and guide the development of individualized HCB Service plans.
    • Collaboration: Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery.
    • Partnership: Maintain a comprehensive working knowledge of community resources and network services for target population.
    • Travel: Clustered field visits limited to one geographical region.

    What we offer:

    At Maximus, we believe in the power of teamwork and mutual success. Our benefits reflect this philosophy by supporting your physical health, financial wellbeing, and work/life balance, ensuring your equipped for all the moments that matter.

    • Competitive Health Benefits
    • 401K With Company Match
    • Paid Accrued Sick Leave and 11 paid Holidays
    • Employee Assistance Program (EAP)
    • Employee Wellness and Discount Programs
    • Career Development and Promotional Opportunities

    Essential Duties and Responsibilities:

    • Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
    • Render medical necessity determinations for cases assigned.
    • Resolve all other technical issues within reconsideration assigned.
    • Review cases or sites assigned to determine and summarize facts and assess any issues identified.
    • Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
    • Perform other duties as assigned by management.
    • Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
    • Render medical necessity determinations for cases assigned.
    • Resolve all other technical issues within reconsideration assigned.
    • Review cases or sites assigned to determine and summarize facts and assess any issues identified.
    • Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
    • Perform other duties as assigned by management.
    • Collect and review child’s clinical documentation and/or health referral, as relevant to the case- Utilize the HCBS portion of the State CANS assessment tool and MAXIMUS case management systems to document the child’s health status, strengths, care needs, diagnoses and preferences and transmit, as required.
    • Properly document any concerns, conflicting information, other issues that surface during the evaluation process.
    • Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan.
    • Discuss with child/family health care options, supports needed, service vendor options and waiver options.
    • Update plans of care as per State requirements, and on an as needed basis.
    • Collaborate with Family Support Coordinators to meet the needs of the family.
    • Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM.
    • Provide relevant information in response to the child’s specific needs as a bridge between when the in-home evaluation is conducted and evaluation results are provided.
    • Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
    • Performs other duties as may be assigned by the Regional Manager or other project management

    Minimum Requirements

    • Active RN license required
    • Minimum 2 years clinical experience required with RN license.
    • Graduate of an accredited nursing program
    • Active RN Licensure in the state of New York
    • 2+years relevant experience as an RN
    • Active and valid New York driver’s license
    • Required ability to travel throughout assigned region, based on business needs.
    • Must have reliable form of transportation.
    • Ability to review health status questions and make evaluations and determinations based on the UAS-CANS-NY system 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.
    • Strong ability to work independently.

    Preferred Requirements:

    • Bachelor’s Degree in Nursing and/or equivalent certification
    • Home care experience using the UAS-CANS-NY system
    • RN experience in a psychiatric/behavioral health/pediatrics/adolescent/foster care settings/group home/school nurse/care management.
    • Consistent technological experience using computer systems for assessments/word processing tasks.
    • Experience in developing Plans of Care.

    EEO Statement

    Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

    Pay Transparency

    Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

    Annual Base Pay Minimum for this Position

    $90,000.00

    Annual Base Pay Maximum for this Position

    $100,000.00

  • Industry
    Government Administration
  • About Us

    As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.