Clinical Assessment Manager
Spearhead Staffing
Job Description
Job Description
We are seeking a Clinical Assessment Manager for a contract to hire role with our client in the Bronx, NY. 3-5 years experience in managed care programs. Openings across Manhattan, Brooklyn, and the Bronx. Bilingual in English and Chinese is preferred.
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 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 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.
JOB RESPONSIBILITIES:
- Works closely with intake and enrollment and care delivery teams regarding in-home or virtual assessment appointments with prospective or enrolled participants (utilizing the Uniform Assessment System of New York, UAS-NY). During this visit, answers questions about the PACE program and emphasizes the unique benefits of the PACE program.
- Conducts in-home assessments for PACE participants utilizing the UAS-NY to determine initial or continued plan eligibility in accordance with the requirement need of Community Based Long Term Care Long Term Care (CBLTC) Services for greater than 120 days, and care needs.
- Evaluates and reviews previous assessments (of all types) to ensure documentation of any/all changes are accurately reflected in EMR. Must include narrative comments and supporting documentation and escalate issues of significant changes to Care Delivery to provide corrected resources.
- Evaluates and reviews previous primary diagnosis and medications at key intervals to ensure updated documentation is accurately reflected in EMR and match the diagnosis entered into UAS. Update and/or modify diagnosis codes and medication updates and ensure the accuracy of information. Must include narrative comments and supporting documentation and escalate issues of changes to ensure proper care and management of cases are followed.
- Promotes and educates potential referral sources about the PACE program as needed to encourage participation in the program through presentations, lectures, meetings, or other support.
- Educates potential/new PACE participants on plan benefits, services, and care delivery model.
- Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY and handling of on-site issues that may require intervention.
- Completes and/or reassesses previous PCAT Tasking Tool to determine appropriate home assistance with ADLs/IADLs combined with attendance at the PACE site. Evaluate and provide recommendations for modifications, corrections, and/or changes to previous evaluations, as well as escalates issues to the discipline manager.
- Develops the proposed service plan and obtains necessary documentation during home visit.
- Utilizes Lenavi analyzer during either the review process and/or assessment.
- Documents all interactions and outcomes in the designated clinical management/electronic record system.
- Completes all assessments, notes, service plans, and other documentation timely (within 48 hours).
- Works with the quality review team to ensure accuracy and completeness of all necessary documentation in the Health Commerce System and in the electronic record system.
- Maintains knowledge of all applicable CMS/PACE guidelines and relevant organizational and departmental policies and procedures, including but not limited to, the timely conduction, finalization, and documentation of the UAS-NY.
- Must be able to work some weekends and ability to travel to various boroughs.
- Provides significant clinical information to the Care Delivery team in advance of enrollment to ensure a smooth transition and appropriate opportunity for Care Delivery preparation of new participants with complex health conditions.
- Partners with Care Delivery by meeting with site leadership and IDT to provide Clinical Assessment and Intake updates, address concerns and improve the overall process.
- Serves as clinical point person in response to Care Delivery questions, concerns, or issues after enrollment.
- Engages in continuous quality improvement activities to promote optimal staff performance and participant outcomes.
- Advises on operational process improvements that may positively impact enrollment turnaround, scheduling logistics, expense/financial-related efficiencies, engagement strategies, reporting, and other critical touchpoints.
- Regularly reviews key performance metrics and analytics to improve process flows and/or quality of work.
- Maintains a schedule of at minimum two to three (2-3) UAS-NY assessments per day according to needs and availability.
- Only act within the scope of the individual’s authority to practice.
- Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently.
QUALIFICATIONS:
Education: Registered Nurse NY State License, BS in Nursing or other health related area, preferred.
Experience:
- 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 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).
- 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.
- Proficiency in utilizing and analyzing UAS-NY and Lenavi.
- Experience with Customer Relationship Management platforms and clinical management systems.
Please note: This position is not open to 3rd party c2c agencies. No visa sponsorship provided. All applicants must have permanent US work authorization and not require sponsorship now or in the future.
$110k - $115k
...compassionate, coordinated care that improves quality of life and helps individuals remain safely in their homes. As a Clinical Assessment Manager, you will play a critical role in the participant journey by conducting comprehensive assessments, identifying care needs...SuggestedRemote workMonday to FridayFlexible hours$95.45k - $156.54k
DescriptionClinical Manager is responsible for overseeing the continuity of patient care... ...initially seen in the outpatient setting, assessed for surgical risks, and provided care... ...health prior to the surgery. The nurse Clinical Manager will be responsible for components...SuggestedTraineeshipLocal area$115.49k - $192.33k
DescriptionThe Clinical Program Manager is responsible for assuring compliance with mandated clinical orientation, competency assessment and interventions in the assigned clinical program of designated nursing staff within the Medical Center. This individual interfaces...SuggestedFull timeTemporary workTraineeshipLocal area$95.45k - $156.54k
DescriptionThe Clinical Manager is a licensed clinician, with responsibility of oversight of activities in the assigned department. This... ...many direct patient care/clinical duties including patient assessments, testing, patient education, managing patient emergencies, and...SuggestedTraineeshipLocal area- ...seeking a Senior Director-level Industrial-Organizational Psychologist in New York, NY, who will design and implement innovative assessment solutions using AI. This role involves leading client engagements, mentoring team members, and contributing to business development...Suggested
$101k - $152k
...field sales efforts with one primary customer through clinical and educational customer needs assessment, product and procedural training, and required... ...productsWork in conjunction with sales representatives, sales management and the customer to properly identify, prioritize...Minimum wageFull timeWork at officeLocal areaWorldwide$125k - $140k
...We're building the technology and clinical services platform to make preventive, connected... ...Registered Nurse (RN) to work as a Clinical Manager to oversee our west coast region as well... ...Respond to abnormal labs, tests, vitals- assess, triage patients to ensure proper follow...Remote workWork from homeSprinter Health
New York, NY14 days ago$135k - $140k
...healthcare happen after a patient leaves the hospital. As a Clinical Manager - Integrated Care, you'll play a vital leadership role in ensuring... ...teams. Conduct comprehensive in‑home nursing assessments and provide skilled nursing care. Educate participants and caregivers...Monday to FridayFlexible hours$85k - $90k
...next step in your career with CCL Hospitality Group as a Clinical Nutrition Manager inBronx, NY! Location : CCL Hospitality Group Setting :... ...Clinical Nutrition Care : Perform comprehensive nutritional assessments and develop individualized care plans to promote recovery...Local areaRelocation packageMonday to FridayFlexible hours$85k - $106.3k
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests... ...for medical services and renders clinical determinations in accordance with...Work experience placementFlexible hours- Description: Responsible for assessing patient care needs and initial planning for patients... .... Provides guidance and oversight to clinical field staff to ensure regulatory compliance, optimal quality of care and case management and timely, accurate documentation. JOB...
- Join to apply for the Clinical Manager - JASACare role at JASA Shift Schedule: Monday-Friday 9AM-5PM Hours Per Week: 35 Overview The Clinical... ...needs, and NYS DOH regulations. Conduct home visits and assessments to evaluate staff performance and client care quality. Ensure...Work at officeLocal areaMonday to FridayShift workAfternoon shift
$100k - $108k
Base pay range $100,000.00/yr - $108,000.00/yr Overview Clinical Intake Manager - Admissions Department. Full-Time | Skilled Nursing & Rehabilitation... ...for patients and residents by reviewing referrals, assessing eligibility, coordinating pre-admission steps, and working...Full timeWork at office- VNS Health seeks a qualified nurse to assess member needs, authorize services, and coordinate care management within regulatory guidelines. You will work with medical teams to ensure appropriate, timely, cost-effective care and discharge planning. Requirements include an...
- ## Clinical Manager - Full TimeApplylocations: Claxton, GAtime type: Full timeposted on: Posted 3 Days Agojob requisition id: R-100997**Job... ...certification**Key Responsibilities:*** Review case referrals and assess patient needs, including conducting home visits.* Assign...Full time
- ...the following ways:Serve as the senior clinical advisor supporting the design of enterprise... ...that improve employee outcomes and manage health-related risk.Advise senior leadership... ...Disabilities/Protected Veterans.BNY assesses market data to ensure a competitive compensation...WorldwideFlexible hours
- ...internal controls, and operating structures Lead and oversee risk assessments, gap assessments, and fraud risk assessments to identify... ...functions, including rate setting, cost reporting, managed care oversight, and federal claiming, to identify and mitigate...Full timeH1bLocal area
KPMG
New York, NY27 days ago $109.9k - $179.3k
...medicines for people with serious diseases. We are seeking a Clinical Study Associate Manager to join our Clinical Trial management team. In this role... ...and management of the study Contributes to risk assessment and helps identify risk mitigation strategies, and supports...Contract workWorldwide- ...RN Clinical Manager Responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary... ...approvals. Ensures patient needs are continually assessed and care rendered is individualized to patient needs,...
CPA Recruiter Online
Egg Harbor, NJ4 days ago $46 - $53 per hour
...Paid time off Parental leave Wellness resources The Clinical Program Manager plays a critical role in day-to-day operations of Friends... ..., providing mental health counseling services including assessment, diagnosis, treatment planning, and therapy to individuals...Hourly payFlexible hoursFriends Of Firefighters Inc
New York, NY8 days ago- ...to ensure compliance and efficiency.Develop and manage work schedules and assignments for the healthcare team.Assess physician performance and provide constructive feedback... ...delivery.Identify and resolve operational and clinical issues effectively and efficiently.Participate...Shift work
$78k - $92.5k
...by providing pretrial supervision, case management, and voluntary social services to... ...health counseling. BJI is seeking a Clinical Manager for the borough’s Supervised Release... ...oversee SRP Clinicians who provide intake, assessment, evidence-based group and individual...Full timeTemporary workLocal areaWork visaFlexible hoursWeekend workAfternoon shiftCenter for Justice Innovation
New York, NY8 days ago- Job Overview The Clinical Program Manager is responsible for assuring compliance with mandated clinical orientation, competency assessment and interventions in the assigned clinical program of designated nursing staff within the Medical Center. This individual interfaces...Temporary workTraineeship
$72.5k
...coordination of staff to ensure full provision of clinically sound services to clients. You will... ...their abilities for illness self-management. What You Will Do: Supervisory Responsibilities... ...Engage in supportive counseling Assess/evaluate consumers at intake/admissions,...Hourly payAfternoon shift- Clinical Program Manager, Specialty Population Health Join to apply for the Clinical Program Manager, Specialty Population Health role at Mindoula... ...in order to support members in reaching their goals. Assess members for risk, make quick evaluations for risk, and respond...Full timeContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
- ...responsible for the oversight, coordination, and execution of clinical data management activities across one or more clinical trials. Provides... ...management processes and tools. Monitor/manage study budgets; assess change orders. Train and mentor junior team members....
Scorpion Therapeutics
New York, NY2 days ago $100k - $110k
...integral member of the senior leadership team within the Clinical Protocol & Data Management (CPDM) Office of the Herbert Irving Comprehensive Cancer... ..., and stimulate the work environment; continually assessing trial complexity/workload and resource allocation to ensure...Temporary workLocal areaFlexible hoursColumbia University in the City of New York
New York, NY4 days ago$43.68k - $49.92k
...Black and Latina women living with HIV in reengaging in HIV care and essential support services. The Clinical Care Manager works with an interdisciplinary team to assess client needs, coordinate care, develop health goals, and promote retention in care and self-...Full timeLocal areaImmediate start$140k - $160k
DescriptionSenior Clinical Risk ManagerThe Senior Clinical Risk Manager serves as a resource to staff to enhance patient safety, promote patient safety, quality... ...Root Cause Analysis investigations which include assessing need for focused review by departments, and/or...TraineeshipLocal area$100k - $180k
...focused on transforming the diagnosis and management of patients with serious neurological... ...movement! Position Overview The Clinical Account Manager (CAM) is responsible for... ...strategically. ~ Ability to accurately assess and understand different stakeholders needs...Full timeWork at officeLocal areaRemote workFlexible hours3 days per weekCeribell
New York, NY12 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Assessment Manager. Be the first to apply!
- health product manager New York, NY
- project manager health New York, NY
- healthcare consulting manager New York, NY
- clinical nutrition manager New York, NY
- director of health information management New York, NY
- hospital manager New York, NY
- clinic operations manager New York, NY
- medical assistant supervisor New York, NY
- health insurance manager New York, NY
- associate clinical manager New York, NY