RN - Clinical Assessment Manager (UAS)

WCS Healthcare is currently seeking a Clinical Assessment Manager (RN UAS) to work with a large social services agency serving Brooklyn, the Bronx, and Manhattan, NY.

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 seamless participant onboarding and continuity of care.
• Review and update assessments, diagnoses, medications, and clinical documentation to ensure accuracy and compliance within EMR and 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 in condition, 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 in accordance with 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 a daily assessment schedule, and serve as a clinical resource and active member of the interdisciplinary team (IDT).

Requirements

• Active New York State RN License.
• BSN required.
• 3–5 years of experience in MLTC, LTHHCP, MAP, PACE, or other managed care programs.
• Minimum 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 1 year of experience working with a frail or elderly population. Candidates with less than one year of experience may be considered if they meet all other requirements and complete appropriate PACE-provided training upon hire.
• Proficiency in utilizing and analyzing UAS-NY and Lenavi.
• Experience with Customer Relationship Management (CRM) platforms and clinical management systems.
• Strong clinical assessment, documentation, communication, and organizational skills.
• Bilingual skills preferred.