The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid.
The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs.
This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs.
Home Care Services Program (HCSP) is recruiting two (2) Staff Nurses, to function as Staff Nurses in HCSP/ CASA 11 – Care at Home/ Home Bound Unit, who will:
- Conduct in-home or virtual assessments at the request of HRA using a State approved assessment instrument to evaluate the client’s ability to safely perform activities of daily living and the degree to which the client requires assistance for each function and task. The completed assessment would be entered into the New York State Department of Health (NYSDOH) and/or HRA computer system.
- Assist in determining the level of home care services or other services of care that the client needs based on the medical diagnosis and degree of functional impairment. The development of a plan of care that takes into consideration client’s home environment and social support system.
- Complete in-home and virtual visits and submit the completed HRA/NYSDOH approved assessments and recommendations forms no later than five (5) workdays after the date of assignment.
- Conduct case reviews of new applicants, service change and re-authorization cases, and participate in special projects. The reviews consist of screening all documents related to the request for service and may include contacting the client’s physician or other resources for additional medical documentation and information as necessary.
- Develop a plan of care for the type and amount of home care services to be provided to the client after reviewing all required case documentation.
- Prepare documentation for and testify at Fair Hearings and at other legal proceedings to explain clinical findings and determinations regarding the plan of care.
- Provide consultation to HRA Medical Review Team and social service staff at HRA’s request.
- Complete self-audits of State approved assessments and medical review of charts.
- Work toward obtaining PRI/screen certification and conduct assessments of clients transitioning to a Nursing Home Facility.
Hours/Shift: 9AM – 5:30PM (1 Hr. Flex)
Minimum Qualifications
- A valid New York State Registered Nurse License.
Preferred Skills
- Able to communicate well both verbally and in writing.
- Able to efficiently utilize computer programs and enter data in an electronic field visit report.
- Extensive UAS or home care assessment experience
- Bilingual ability is preferred.
- Strong clinical assessment skills.
- Exceptional Time Management skills.
- In-home assessments will require travel within the five boroughs of New York City regardless of what HCSP CASA site the Nurse is assigned to.
Residency Requirement
New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.
Additional Information
In addition, the Human Resources Administration/Department of Social Services offers competitive salaries and the following benefits: Generous Pension Plans (The New York Employees' Retirement System).
401(k) and Roth 457 Retirement Savings Programs. U.S. Savings Bonds Flexible Spending Program; Health Benefits, Dental, Vision Coverage, Prescription Drug Program; Training and Professional Development; Opportunity for Scholarship; College Savings Program; Paid Holidays and Generous Annual Leave.