Description:

As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, affordable health insurance coverage for children and adults of all ages and at all stages of life. Central to our mission is our commitment to be a health care partner, working closely with our members and providers to ensure that everyone receives the care they need, when they need it. From the beginning, Fidelis Care has worked to be part of the social fabric of local communities, impacting people's lives with one of the most basic human rights - access to quality health care and services, close to home.

Position Summary

The Intake Specialist works closely with a team of health care professionals to help develop a plan of care for members enrolled in Fidelis' Managed Long Term Care program. The Intake Specialist is responsible for conducting assessments and reassessments of applicants and enrollees using the Uniform Assessment System ("UAS") and will be responsible for developing individualized proposed services within the plan's benefit package. The Intake Specialists are expected to use critical thinking and sound clinical judgment when making recommendations for proposed services.
 

Responsibilities

  • Conducts in-person and hands-on assessments and re-assessments of applicants and enrollees;

  • Completes internal and external documents and information for data submissions to local Departments of Social Service (LDSS) and the Department of Health (DOH) prior to established dates due; creates and modifies plans of care that include authorized services, need based non-covered services, family, and caregiver support to meet identified treatment goals within specified timeframes;

  • Communicate with patients, family, and medical personnel to facilitate a desired outcome;

  • Collaborate with providers to ensure appropriate outcomes;

  • Practice and adhere to departmental and State guidelines and clinical standards of care;
  • Manage electronic patient files to document patient records, treatments, and progress.

  • Attend educational workshops; review professional publications to keep updated on industry trends; establish personal networks and participate in professional societies to maintain professional and technical knowledge
     

Preferred Skills/Experience

  • Active NY RN License
  • Bachelor's Degree Preferred
  • Current, Active Drivers License:
    Required
  • Clinical Experience: 1- 3 years MLTC Home Care experience, preferred, but new grads are welcome to apply
     

To learn more about our Mission and growing company, please visit

Legal Requirements

EEO Statement

Fidelis is an equal opportunity employer and employs individuals regardless of race, sex, color, religion, creed, ancestry, national origin, physical handicap, age, marital status or other protected class status pursuant to applicable law. Fidelis does not reject employees, or otherwise deem employees unacceptable, or take any other action for any reason prohibited by federal, state or local laws including, but not limited to, laws pertaining to employment discrimination or employee safety. In addition, Fidelis does not tolerate unlawful harassment or retaliation, and abides by all applicable laws related to sexual or other forms of harassment and all laws regarding retaliation.

Disclaimer

The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job. May be required to perform other related duties as assigned.

Physical Requirements:

Ability to continuously stand or walk. Frequent and repetitive hand movements, including grasping, squeezing, and pulling. Ability to bend, squat, climb stairs and lift frequently. Ability to drive a motor vehicle and lift up to 50 pounds occasionally.

 

Time Type:

Full time

Location:

New York City Regional Office
 

Description:
As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, af...

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