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Assessment Coordinator
1 month ago
MetroPlusHealth is dedicated to delivering exceptional healthcare services to the residents of New York City. As a leading provider of Medicaid Managed Care, Medicare, and other health insurance programs, we strive to empower individuals and communities through high-quality care. Our team is passionate about making a positive impact on the lives of our members and providers.
About MetroPlusHealth
MetroPlusHealth is a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States. With a network of over 27,000 primary care providers, specialists, and participating clinics, we offer a comprehensive range of healthcare services to meet the diverse needs of our members. For over 30 years, we have been committed to building strong relationships with our members and providers to enable New Yorkers to live their healthiest lives.
Job Summary
The Assessment Coordinator plays a critical role in ensuring the timely and accurate completion of assessments for our members. This position is responsible for ordering, tracking, and reconciling assessments, as well as referring and tracking assessments for completion by vendors and the Enrollment/Assessment Nurse. The Assessment Coordinator will also conduct tracking, trending, and analysis of assessments completed by vendors and vendor activities. Additionally, this role will perform reviews to determine the quality of assessment performance and identify issues impacting unit operations.
Key Responsibilities
- Enter and document UAS referral data in the appropriate systems within 24 hours of request or notification to ensure timely referral and vendor payment.
- Maintain a 95% or better accurate data entry rate in the appropriate systems.
- Conduct daily vendor referral reports to monitor and track outstanding assessments.
- Analyze reports daily to identify trends and issues impacting unit operations.
- Conduct daily reconciliation with vendors to receive updates on outstanding assessments.
- Provide feedback to vendors and report findings to the management team.
- Identify and communicate issues impacting unit operations to the management team.
- Prepare assessments for review by the management team for CM case assignment.
- Review completed assessments for legibility, completeness, and scoring.
- File assessments in the appropriate charts for review by the management and care teams.
- Monitor vendor/referral source performance to ensure assessments are completed within timeframes.
- Identify and recommend workflow-related problems to the management team.
- Monitor and report vendor performance as directed by the management team and make recommendations for process improvement when indicated.
- High School graduation or evidence of having satisfactorily passed a High School Equivalency Program.
- At least 2 years of managed care experience.
- Knowledge of medical management functions, with experience working in Medical Management preferred.
- Prior training experience preferred.
- Integrity and Trust
- Customer Service Focus
- Functional/Technical skills
- Written/Oral Communications
