RN - Clinical Assessment Manager (UAS) - Bronx/Westchester

WCS Healthcare is seeking a dedicated professional to join our team, working with a large social services agency in the vibrant and diverse communities of Bronx/Westchester, NY. This role offers an opportunity to make a meaningful impact on the lives of participants in the PACE program.

Job Responsibilities

• Conduct in-home and virtual UAS-NY assessments for prospective and enrolled PACE participants to determine eligibility and ongoing care needs.
• Collaborate with intake, enrollment, care delivery, and interdisciplinary teams to support smooth participant onboarding and continuity of care.
• Review and update assessments, diagnoses, medications, and clinical documentation to ensure accuracy and compliance within the EMR/UAS systems.
• Develop proposed service plans and complete PCAT evaluations to assess ADL/IADL support needs and recommend appropriate services.
• Educate participants and referral sources on PACE program benefits, services, and care delivery models.
• Escalate clinical concerns, significant changes, and assessment issues to quality review and care delivery teams for timely intervention.
• Maintain timely and accurate documentation of assessments, service plans, and participant interactions within required deadlines.
• Ensure compliance with CMS, PACE, and organizational policies, procedures, and documentation standards.
• Support quality improvement initiatives, operational process enhancements, and performance metric reviews to improve participant outcomes and workflow efficiency.
• Travel throughout assigned boroughs, maintain daily assessment schedules, and serve as a clinical resource and active member of the interdisciplinary team (IDT).

Requirements

• Active NYS RN License
• BSN Required
• Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs.
• 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).
• Minimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.
• Proficiency in utilizing and analyzing UAS-NY and Lenavi.
• Experience with Customer Relationship Management platforms and clinical management systems.
• Bilingual preferred