The RRDC/Provider agency will employ, either directly or under contract, at least one Registered Professional Nurse (referred to as the "Nurse Evaluator") to assist the RRDC/ Provider Agency in the administration and monitoring of the NHTD waiver program. The role of the NE is not to duplicate the role of the RRDS (or SC), but provide clinical expertise related to the care and needs of waiver applicants/participants and to support the RRDS and the successful implementation of the NHTD waiver.

Requirements

The NE must:

* Be a current New York State licensed registered professional nurse and be in good standing

* Be New York State certified to complete the Hospital and Community Patient Review Instrument (H/C-PRI), SCREEN, Uniform Assessment System-New York (UAS-NY) and other clinical assessments as requested by NYSDOH; Possess excellent clinical assessment skills

* Have excellent screening and interviewing skills

* Have excellent problem-solving and investigating skills

* Have two (2) years of satisfactory professional experience working with people with disabilities and/or seniors in a community setting

* Possess excellent organizational and training skills

* Have excellent written and verbal communication skills and the ability to resolve conflicts

* Be able to coordinate activities, evaluate data and establish priorities

* Have a working knowledge of community-based resources for individuals with disabilities and/or seniors

* Possess experience with developing relationships with institutional and/or community-based organizations

* Maintain a working knowledge of services and supports available through Medicaid, Medicare, and/or other third-party payers; and

* Meet all qualifications outlined in the agency contract with RRDC - NYSDOH. disabilities and/or seniors

NE responsibilities include:

1. Technical Assistance and Support to the RRDC/RRDS and another Nurse

Evaluators

* Assists the RRDS in reviewing service plans that are medically complex to assure the information is accurate and utilizes resources and available services to meet the health and welfare needs of the participant; Review and/or administer the UAS-NY, or PRI/SCREEN (if in a nursing facility), when there is a concern that the current UAS-NY or PRI does not reflect participant LOC (Level of Care) needs. (e.g., when the individual does not meet LOC requirement; or there appears to be a discrepancy regarding the outcome of a LOC assessment)

* Conduct annual LOC assessments for waiver participants as needed

* Provide resource information and education regarding individuals with disabilities and seniors as requested by the RRDC

* Participate in local activities and consortia on issues involving individuals with disabilities and seniors relevant to the NHTD waiver

* Attend quarterly RRDC meetings, webinars, and training opportunities

* Provides training and technical assistance and shares areas of expertise with other NEs

2. Resource to Providers

* Attend Team Meetings and case conferences where the participants clinical needs may warrant further interpretation/assistance

* Provide training and technical assistance to waiver service providers on clinical aspects of the waiver program as needed

3. Technical Assistance to Participants, Family Members, and Others

* Is available to participants family members/informal support and legal guardians to answer questions and address concerns of a clinical nature

* Support the participants right to be the decision-maker regarding life goals, serve as a liaison to nursing homes, discharge planners, and other medical professionals facilitating the care and welfare of waiver applicants/participants

4. Incident Reporting

* Provide feedback to the RRDS during investigations of SRIs as requested

* Participate in investigations as needed

* Review reports and analyzes trends

5. Develop and Submit Reports to RRDC and NYSDOH