Registered Nurse

UAS Reviewer – Registered Nurse | Hybrid | New York

A small MLTC is looking for a UAS Reviewer to work primarily remotely except for monthly, quarterly meetings on site in the New York/Westchester area.

Position Overview

The UAS Reviewer will provide training and support to staff regarding UAS documentation and assessment responses while monitoring quality, accuracy, and regulatory compliance.

Key Responsibilities

• Review UAS assessments for accuracy, consistency, and compliance

• Review community, functional, and mental health assessment responses

• Evaluate cognition documentation to ensure CDPAP eligibility meets regulatory requirements

• Review medications for appropriate frequency and consistency with diagnoses

• Review quality selections and previous assessments

• Review chart documentation to ensure consistency with assessment selections

• Verify documentation of member education and distribution of health-related materials

• Confirm education regarding benefits, including CDPAP

• Ensure functional and community nodes are consistent

• Verify required documentation for service reviews and home status

• Review diagnoses and supporting documentation

• Utilize appropriate review tools to evaluate assessment responses

• Provide training and guidance to staff regarding UAS documentation and quality standards

Requirements

✔️ Active NYS Registered Professional Nurse (RN) license

✔️ Minimum 2 years of nursing experience preferred

✔️ Home Care or Managed Care experience strongly preferred

✔️ Strong knowledge of UAS documentation and assessment processes

✔️ Excellent attention to detail and ability to identify documentation discrepancies

✔️ Strong understanding of regulatory and compliance requirements

🌟 Why Consider This Opportunity?

If you're an NYS RN with UAS, home care, managed care, or assessment experience, this is an opportunity to transition into a role focused on quality, compliance, documentation review, and staff support — while working primarily from home.