Location: Bronx,NY, USA
JOB PURPOSE:
This position will ensure the effective and efficient completion of tasks associated with the clinical assessment process, including but not limited to clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager Care Delivery will follow all Department of Health policies and regulations pertaining to the Uniform Assessment System of New York (UAS-NY) as well as Intake workflows related to accurate and timely completion of UAS assessments. The Clinical Assessment Manager Care Delivery serves as a valuable resource to the Intake, Enrollment, and Care Delivery teams by documenting critical clinical enrollment, evaluation, and documentation of correct diagnosis, reassessment, and change in condition information in the electronic record system.
Education: BS in Nursing or other health-related area, preferred.
Experience:
Minimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.
Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs.
Experience in working independently without significant oversight and or direction from a supervisor.
Minimum of five (5+) years of experience in care/case management, disease management, population health management, utilization review, quality assurance, or discharge planning (preferably within a managed care, home care, or community health organization).
Proficiency in utilizing and analyzing UAS-NY and Lenavi.
Experience with Customer Relationship Management platforms and clinical management systems
License: Current active and unrestricted license in NYS as a Registered Nurse, required.