Clinical Assessment Manager- Care Delivery (UAS) - FlexStaff

Clinical Assessment Manager Care Delivery (UAS Nurse)

Location: Brooklyn (Orientation in the Bronx) Setting: Field; conducting in-home participant assessments. Pay Rate: $57/hr Schedule: Monday Friday 8:30am-5:30pm, (1 hour lunch) (FT)

We are seeking a Clinical Assessment Manager with required UAS experience to oversee and execute all tasks related to the clinical assessment process. This includes, but is not limited to, clinical onboarding, reassessment, UAS-NY completion, comprehensive assessment, medication review, and post-hospital discharge evaluation. The role involves close collaboration with intake, enrollment, and care delivery teams, conducting in-home assessments, ensuring accurate documentation in EMR, promoting the PACE program, and maintaining compliance with CMS/PACE guidelines. This individual will play a crucial part in facilitating smooth transitions for participants, advising on operational improvements, and actively contributing to quality improvement initiatives.

Here are the key responsibilities for this role:

• Conduct in-home or virtual assessments using the Uniform Assessment System of New York (UAS-NY) for prospective or enrolled participants.
• Determine initial or continued plan eligibility in accordance with Community Based Long Term Care (CBLTC) Services requirements.
• Answer questions about the PACE program and highlight its benefits during assessments.
• Maintain a schedule of at minimum 2-3 UAS-NY assessments per day.
• Evaluate and review previous assessments, primary diagnoses, and medications, ensuring all changes are accurately reflected in the EMR and match UAS entries.
• Document all interactions, notes, service plans, and other documentation within 48 hours.
• Work with the quality review team to ensure accuracy and completeness of documentation in both the Health Commerce System and the EMR.
• Maintain knowledge of all applicable CMS/PACE guidelines and organizational policies.
• Collaborate closely with intake, enrollment, and care delivery teams.
• Escalate significant changes or concerns during assessments to the quality review team or discipline manager.
• Provide significant clinical information to the Care Delivery team in advance of enrollment for smooth transitions.
• Partner with Care Delivery leadership and the Interdisciplinary Team (IDT) to provide updates, address concerns, and improve processes.
• Serve as the clinical point person for Care Delivery questions post-enrollment.
• Remain responsive and available by phone/email for CenterLight staff.
• Promote and educate potential referral sources about the PACE program.
• Educate potential/new PACE participants on plan benefits, services, and the care delivery model.
• Complete and/or reassess PCAT Tasking Tool, providing recommendations for modifications.
• Utilize the Lenavi analyzer during review and assessment processes.
• Engage in continuous quality improvement activities to promote optimal staff performance and participant outcomes.
• Advise on operational process improvements related to enrollment, scheduling, financials, reporting, and engagement strategies.
• Regularly review key performance metrics and analytics.
• Must be able to work some weekends and travel to various boroughs.
• Act only within the scope of individual's authority to practice.
• Meet a standardized set of competencies for the position.
• Serve as an acting member of the IDT.

The salary range for this position is $57.00-$57.00/hour.

Salary ranges shown on third-party job sites may not accurately reflect ranges provided by Northwell Health. Candidates should check Northwell Health Careers for accurate information and discuss salary/hourly details and our comprehensive benefits with a recruiter, if selected for an interview.