Clinical Assessment Manager (Korean Bilingual), RN License Required

We are looking for a Korean Bilingual Clinical Assessment Manager to work for one of our external clients, a non-profit organization that provide and manages long-term healthcare services, to work in their location in the Bronx, NY and floating to Queens, NY.

This is a permanent, full-time job. Schedule: Monday - Friday 8:30 AM - 5:30 PM.

In this role you will be responsible for clinical assessment process, including but not limited to clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review, and post-hospital discharge evaluation.

An ideal candidate would have a NYS Registered Nurse License and 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).

Responsibilities include, but not limited to:

• Follows 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.

• 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.

• Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).