SUPERVISOR OF CLINICAL ASSESSMENT

As Supervisor of Clinical Assessment – Care Delivery, you’ll oversee the quality and timely completion of UAS-NY assessments, support clinical assessment nurses and reviewers, and serve as a resource to colleagues across our PACE program.

WHAT YOU’LL DO

Lead and develop clinical assessment nurses and reviewers, including training, competency evaluation, quality review, and onboarding.
Oversee timely, accurate in-home UAS-NY assessments and reassessments, clinical documentation, and compliance with CMS, NYSDOH, and PACE requirements.
Partner with Care Delivery and the interdisciplinary team to communicate clinical findings, support enrollment transitions, and address participant needs after enrollment.
Oversee the review of personal care hour authorizations to align services with assessed needs and applicable requirements.
Improve team workflows, productivity, and assessment quality; prepare required reports and support quality improvement initiatives.
Manage day-to-day relationships with contracted assessment agencies, including staffing coordination, clinical support, and invoice review.

WHAT WE’RE LOOKING FOR

Required Qualifications:

Active New York State Registered Nurse license or Physician Assistant license or certification authorizing practice in New York.
At least 3 years of experience in MLTC, LTHHCP, MAP, PACE, or another managed care program.
Experience in care or case management, disease management, population health, utilization review, quality assurance, or discharge planning.
Proficiency using and analyzing UAS-NY; familiarity with clinical management systems and customer relationship management platforms.
Strong clinical judgment, staff leadership, communication, documentation, Microsoft Office, and report-writing skills.
Ability to work independently, manage deadlines, and travel across Service area for training and field supervision.
Experience working with a frail or elderly population, or completion of appropriate PACE-provided training upon hire if otherwise qualified.

Preferred Qualifications:

Five years of experience in MLTC, LTHHCP, MAP, PACE, or another managed care program.
Experience in managed care, home care, or community health settings.
Bilingual language skills.