Registered Nurse (RN) - Clinical Care Manager (UAS Assessments), Contract

Northwell•Village of New Hyde Park, NY

8h•Onsite

About The Position

FlexStaff is seeking a Registered Nurse with experience in home health agency (CHHA) or long-term home health care (LHCSA) to work as a Clinical Care Manager for one of our external clients, a non-profit organization that provides home healthcare services to the elderly, disabled and chronically ill in the New York metropolitan area. In this role, you will be coordinating, facilitating, and arranging long-term care services in nursing homes, rehab facilities, etc. as needed.

Requirements

Degree from an NLN accredited nursing school (RN, BSN required or at least five (5+) years’ experience in health care setting).
Current active and unrestricted license and registration in New York State as a Registered Nurse required.
Minimum of two (2+) years of administrative experience in a management capacity in a certified home health agency (CHHA) and/or long-term home health care (LHCSA).

Responsibilities

Oversee development and execution of individualized care plans to improve satisfaction and outcomes.
Lead and document interdisciplinary team meetings; complete attestations; support Virtual interdisciplinary team.
Serve as manager on call after hours; complete follow-ups, documentation, and initiate grievances promptly.
Run Clinical Delivery reports.
Allocate staffing and resources to ensure seamless coverage and operations.
Coordinate ongoing communication with IDT and stakeholders to align care with participant goals.
Review UAS/UAS analyzer with clinicians to ensure assessment accuracy.
Investigate incidents and complete Level 2 reviews and documentation per regulations.
Ensure complete, accurate participant documentation (enrollment, disenrollment, EMR, clinical notes) and perform chart audits.
Coordinate transitions of care and arrange long-term care services as needed.
Monitor care management effectiveness/utilization and adjust plans accordingly; ensure compliance with organizational, state, and federal standards.
Drive quality improvement; stay current on clinical guidelines and practice standards.
Partner with HR on hiring, coaching, onboarding, training, and regulatory compliance; evaluate staff performance and address grievances.
Serve as LHCSA Director of Patient Services (DPS) as assigned; practice within scope; meet PACE competencies; active IDT member.
Perform other duties as assigned.