RN -Transition of Care in Amherst, NY


Fallon Health Weinberg Posted: 2022-05-13

Amherst, NY 14068

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Fallon Health Weinberg in Amherst, NY is currently seeking an Registered Nurse -Transition of Care – Growing Elder Service Plan (PACE)

About Fallon Health Weinberg - PACE:
Fallon Health Weinberg-PACE is a long-term care program for older adults who need a nursing home level of care, but wish to stay living at home and in their community. We are a Program of All-inclusive Care for the Elderly (PACE), providing complete medical care and support services so you or your loved one can remain living safely at home. All care is coordinated and provided by an interdisciplinary team specializing in geriatric care, who work with participants and their caregivers to create an individualized care plan.

Evaluates and assesses prospective PACE enrollees provided by the outreach. Confirms that prospective enrollee’s meet the eligibility requirements for the PACE program through utilization of the NYS assessment tool (UAS), and presents information to the Interdisciplinary Team in an accurate and concise manner. Keeps the team informed of issues that affect enrollment decisions and maintains data.
Ensures that participants’ transitions of care to and from inpatient facilities are appropriate, timely, and successful. The TCC nurse participates on the Utilization committee to help achieve program business goals.

Requirements
• Bachelor of Science in Nursing
• Reliable transportation required
• Two years nursing experience with at least one year of experience working with a frail or elderly population. Experience in or with long term care facilities and experience with home care desired. Knowledge of Utilization Management principles. Experience with UAS preferred.

To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status.

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