Personal Care Assistance RN Assessor | Contract | Fieldwork | Passaic and Essex, New Jersey

Personal Care Assistance (PCA) RN Assessor | 2+ years’ experience | Fieldwork | Contract

Walker Healthforce is seeking a Personal Care Assistance (PCA) RN Assessor with 2+ years’ experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity with high likelihood to renew.

START DATE: ASAP
WORKER TYPE: W2

CORE REQUIREMENTS:

• Candidates must reside in New Jersey
• Active Unrestricted NJ RN License Required
• This is a field-based position, daily travel is required (mileage reimbursement provided
• ???????Working knowledge of case/care management principles
• Working knowledge of principles of utilization management
• Proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint)

ADDITIONAL REQUIREMENTS:

• Analytical, compassionate, active listening
• Interpersonal & Client Relationship Building Skills
• Sound Decision Making
• Organization/Planning/Priority Setting
• Problem Solving/Critical Thinking
• Team Player
• Time Management
• Written/Oral Communication Skills

WE CONSIDER IT A BONUS IF YOU ALSO HAVE:

• Bi-lingual preferred
• Prefers basic knowledge of health care contracts and benefit eligibility requirements.
• Prefers knowledge of hospital structures and payment systems.

JOB RESPONSIBILITIES:

• Assesses for PCA services in the patient’s homes evaluating clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate and aligned with benefit structure
• Meets minimum metric requirement of 5 PCA assessments/day.
• Evaluates the necessity, appropriateness and efficiency of service provided.
• Coordinates and assists in implementation of services to meet the needs of the members.
• Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
• Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
• Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
• Refers members to MLTSS when appropriate.
• Documents accurately and comprehensively based on the standards of practice and current organization policies.
• Interacts and communicates with multidisciplinary teams either telephonically and/or in person, including legal for Medical Fair Hearing testimony, striving for continuity and efficiency as the member is managed along the continuum of care.
• Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
• Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
• Completes other assigned functions as requested by management.
• Performs duties as assigned by management.

WHAT WE OFFER:

• Competitive compensation package

• Weekly pay via Direct Deposit

• Medical, Dental & Vision available

• 401k options

WHY WORK WITH WALKER?

• Access to our top ranked team of recruiting and placement specialists

• Continuous, one-on-one support from a dedicated engagement manager

• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.


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