Clinical Assessment Manager
4 days ago
About the Role:
As a seasoned clinical professional, you will play a pivotal part in managing participant onboarding and reassessment processes at Northwell Health. Your expertise will ensure accurate completion of the Uniform Assessment System of New York (UAS-NY) and effective collaboration with care delivery teams.
This role involves conducting comprehensive assessments, medication reviews, and post-hospital discharge evaluations while maintaining compliance with Department of Health (DOH) policies and regulations.
Key Responsibilities:
- Conduct in-home or virtual UAS-NY clinical assessments for prospective and enrolled PACE participants
- Review and update previous assessments, primary diagnoses, and medications in electronic medical records (EMR)
- Collaborate with Intake, Enrollment, and Care Delivery teams to facilitate smooth transitions and optimal care for participants
- Evaluate timely documentation completion within 48 hours and maintain accurate clinical records
- Engage in continuous quality improvement initiatives and provide feedback to enhance processes and participant outcomes
- Serve as the clinical point of contact for Care Delivery teams and offer ongoing support after participant enrollment
- Maintain compliance with all CMS/PACE guidelines and organizational policies
Requirements:
- Bachelor of Science in Nursing (BSN) preferred
- 3-5 years of experience in Managed Care Programs (MLTC, LTHHCP, MAP, PACE, etc.)
- 5+ years of experience in case management, disease management, utilization review, or quality assurance
- Bilingual skills are strongly preferred
- Proficiency in Microsoft Office and clinical management systems
Salary: The estimated salary range for this position is $120,000 - $150,000 per year, based on the location and industry standards.
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