Clinical Assessment Manager

Establishes an individual Plan Of Care based on members clinical, environmental, and social needs to support member safety in the community. Identifies solutions that promote high quality and cost-effective health care services in accordance with VNS Health Plans policies, state and federal regulations. Manages requests for services from providers, members, and care management team. Works under general supervision. Mix of virtual and in-person assessments in the following counties:

Referral bonus opportunities

Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities Conduct face-to-face or telehealth UAS-NY assessments according to state guidelines, policies, procedures, and protocols. Utilize clinical skills to assess and document all aspects of the potential members long-term community-based needs. Utilizes VNS Health and state-approved assessment questionnaire, guidelines, and documentation as well as interviews with members, family, and care providers in decision-making. provides comprehensive review and determination of member's needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans including upstate and downstate counties. Performs in-home assessment on members to determine the appropriate service plan, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans. Explains VNS Health Plan benefits, including an explanation of the member's handbook. Ensures compliance with state and federal regulatory standards and VNS Health Plans policies and procedures. Care Management, Legal Affairs, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed. Participates in requests for out-of-network services when a member receives services outside of VNS Health Plans network services. Keeps current with all health plan changes and updates through on-going training, coaching and educational materials. Participates in special projects and performs other duties as assigned.

Bachelor's Degree in nursing or similar field required Work Experience:
Minimum two years of clinical assessment, homecare or hospital experience preferred. Working knowledge of Microsoft Suite Products e.g. Excel, Power-Point, Word required. If you are applying to the per diem per visit version of this job, the hiring range is as follows: $VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.