CLINICAL ASSESSMENT MANAGER QUALITY REVIEWER

Matter of Care Home Health Services; New York (NY); Ibrido; USD 110.000 - 120.000; Tempo pieno

Vantaggi offerti da questo lavoro

PTO and holidays

Tuition reimbursement

403(b) retirement plan

Health/dental/vision

HSA/HRA options

FSA

Transit benefits

Gym reimbursement

Descrizione del lavoro

Matter of Care seeks an experienced RN to oversee clinical assessment quality and reviewer processes in a NY-based role. You will assess UAS-NY data, coach colleagues, and collaborate with Intake, Enrollment, and Care Delivery to ensure timely, person-centered decisions.

The position features a Monday–Friday daytime schedule with a hybrid setup (2 days onsite, 3 days remote) and a strong focus on quality and documentation accuracy, within RN scope.

Competenze

• Active, unrestricted RN license in New York State.
• 5+ years in care/case management, population health, utilization review, or discharge planning.
• 3–5 years with MLTC, LTHHCP, MAP, PACE, or other managed care programs.
• Proficiency using UAS-NY and Lenavi and clinical documentation systems.
• Proficient in Microsoft Office; ability to prepare clear written docs.

Mansioni

• Review and validate UAS-NY assessments and documents for accuracy, completeness, and timeliness.
• Complete 8–15 Care Delivery UAS reviews or 5–7 Intake reviews daily and provide feedback.
• Coach team members on assessment quality, documentation standards, and regulatory requirements.
• Collaborate with Intake & Enrollment, Care Delivery, and IDT to resolve questions and support enrollment and transitions.
• Document assessments, service plans, and follow-up actions within required timelines (48-hour expectation).
• Monitor performance, identify trends, and propose improvements to quality and workflows.

Conoscenze

RN license NY

Care/case management

MLTC/PACE knowledge

UAS-NY/Lenavi proficiency

MS Office

Formazione

BSN or related health discipline

Strumenti

UAS-NY

Lenavi

Descrizione del lavoro

Clinical Assessment Manager – Quality Reviewer

Salary: $110,000 - $120,000

Monday - Friday | 8:30 AM - 5:30 PM

Hybrid work schedule: On-site 2 days per week & 3 days working from home

MAKE A DIFFERENCE IN THE LIVES OF OLDER ADULTS

At Matter of Care, we believe every older adult deserves the opportunity to age with dignity, independence, and the support they need to thrive in their community. As part of the CenterLight Health System family, we partner with participants and their families to deliver compassionate, coordinated care that improves quality of life and helps individuals remain safely in their homes.

We are seeking an experienced New York State Registered Nurse to serve as a Clinical Assessment Manager – Quality Reviewer. In this quality-focused role, you will review UAS‑NY assessments, strengthen documentation accuracy, coach clinical colleagues, and partner with Intake & Enrollment and Care Delivery teams to support timely, person‑centered decisions. This is an opportunity to influence quality and consistency across the participant journey—not simply complete assessments.

What You’ll Do

• Review and validate UAS‑NY assessments and supporting documentation in the Health Commerce System (HCS) and electronic clinical records for accuracy, completeness, and timeliness.
• Complete approximately 8–15 Care Delivery UAS reviews or 5–7 Intake reviews daily, as assigned, and provide actionable feedback to clinical staff.
• Coach team members on assessment quality, documentation standards, workflows, and regulatory requirements; support onboarding of new clinical colleagues.
• Partner with Intake & Enrollment, Care Delivery, site leadership, and the interdisciplinary team (IDT) to resolve assessment questions and support smooth enrollment and care transitions.
• Review clinical information, medication‑related documentation, post‑discharge needs, proposed service plans, and ADL/IADL support needs; use UAS‑NY, Lenavi, and the Tasking Tool as applicable.
• Document assessments, reviews, service plans, and follow‑up actions accurately and within required timelines, including the 48‑hour documentation expectation.
• Monitor performance measures, identify trends, elevate complex concerns, and recommend improvements to quality, turnaround times, workflows, and participant experience.
• Maintain compliance with applicable NYS Department of Health, CMS, PACE, and organizational standards; perform duties within RN scope of practice.

Required Qualifications

WHAT WE’'R Looking For

• Active, unrestricted Registered Nurse (RN) license in New York State.
• At least 5 years of experience in care/case management, disease management, population health, utilization review, quality assurance, or discharge planning.
• 3–5 years of experience in MLTC, LTHHCP, MAP, PACE, or another managed care program.
• Proficiency using and analyzing UAS‑NY and Lenavi, along with clinical documentation systems.
• Ability to work independently, manage competing deadlines, communicate clearly, and provide constructive clinical guidance.
• At least 1 year working with frail or older adults, or completion of appropriate PACE‑provided training upon hire if otherwise qualified.
• Comfort using Microsoft Office and preparing clear written documentation and reports.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN) or a related health discipline.
• Experience with clinical quality improvement, staff education, and CRM platforms.
• Bilingual communication skills.

WHY JOIN MATTER OF CARE?

• Monday-Friday daytime schedule
• Hybrid work schedule: 3 remote workday per week / 2 days onsite
• 28 Paid Time Off (PTO) days annually
• 9 Paid Holidays
• Tuition reimbursement up to $5,250 annually
• 403(b) retirement plan with employer contributions
• Medical, dental, and vision coverage
• Health Savings Account (HSA) and Health Reimbursement Account (HRA) options
• Flexible Spending Accounts (FSA)
• Transit and commuter benefits
• Gym reimbursement up to $400 annually
• Employee Assistance Program (EAP)
• Relias learning platform and professional development opportunities

About Matter Of Care

Matter of Care is a member of the CenterLight Health System family and is dedicated to helping older adults receive high‑quality, coordinated healthcare services while maintaining their independence and dignity.

Through a participant‑centered approach and strong community partnerships, we work every day to improve health outcomes and quality of life for the individuals and families we serve.

Disclaimer

Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

We are an affirmative action and equal opportunity employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max)

$110,000.00 - $120,000.00

Every application is reviewed by our recruitment team. We do not use AI to make hiring decisions or automatically reject applicants. All employment decisions are based on job-related qualifications and applicable employment laws.