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UAS NURSE (RN)
Cross Country Workforce Solutions Group
posted about 2 months ago
About the position
The Clinical Assessment Manager - Care Delivery (RN) position is focused on providing comprehensive clinical assessments for the elderly population within the PACE (Program of All-Inclusive Care for the Elderly) framework. This role involves conducting in-home assessments, ensuring compliance with UAS-NY regulations, and collaborating with various teams to facilitate effective care delivery. The position requires a strong commitment to quality improvement and the ability to work independently in a field setting.
Responsibilities
- Conduct in-home assessments for PACE participants utilizing the UAS-NY to determine eligibility for Community Based Long Term Care Services.
- Evaluate and review previous assessments to ensure accurate documentation of changes in condition and care needs.
- Promote and educate potential referral sources about the PACE program and its benefits.
- Document all interactions and outcomes in the designated clinical management/electronic record system.
- Work closely with intake and enrollment teams regarding assessment appointments.
- Complete all assessments, notes, service plans, and documentation timely (within 48 hours).
- Maintain knowledge of applicable CMS/PACE guidelines and organizational policies.
- Engage in continuous quality improvement activities to enhance staff performance and participant outcomes.
Requirements
- Bachelor's degree in Nursing or a related health field (preferred).
- Minimum of one year of experience working with a frail or elderly population.
- Three to five years of experience in managed care programs such as MLTC, LTHHCP, MAP, or PACE.
- Five or more years of experience in care/case management, disease management, or quality assurance.
- Current active and unrestricted RN license in New York State.
- Proficiency in utilizing and analyzing UAS-NY and Lenavi.
Nice-to-haves
- Bilingual skills in Spanish, Korean, Chinese, or Russian are preferred.
- Experience with Customer Relationship Management platforms and clinical management systems.
Benefits
- Medical, Vision, Dental, and Life Insurance
- 28 days of PTO + 9 paid holidays
- Short and Long Term Disability
- Paid Family Leave
- Flexible Spending Account (FSA)
- Health Savings Account (HSA)
- 403(b) Retirement Plan
