Assessor Reviewer RN -Colorado Springs

Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions. Our business is our people and we’re looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us

This position is responsible for conducting face-to-face assessments of members who may need skilled nurse assessment services. The incumbent completes all assessments using a skilled care acuity tool and provides a recommendation for services based on members health care needs. Members who are assessed reside in the community or are ready to be discharged from a facility. The incumbent may also serve as mentor or preceptor for new staff, assisting in the formal training of assessors, complete quality assurance audits, inter-rater-reliability reviews, and may be involved in process improvement initiatives.

Performs face-to-face and/or virtual assessments of persons with disabilities. Collaborates with health care providers and ancillary service providers to create or validate the appropriate treatment plan. Documents assessment results for the individual member status or negotiates service plan as needed. Completes quality assurance competency reviews and other tasks/projects as assigned such as new assessor training. Provides ongoing education. May communicate with all health care providers to ensure appropriateness of care. Performs miscellaneous duties as assigned.