RN Director of Clinical Assessment & Intake- Full-Time- Queens, NY
Company: Northwell Health
Location: Bayside
Posted on: March 2, 2025
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Job Description:
FlexStaff is seeking an RN Director to Join our dedicated team
committed to providing exceptional care to our elderly participants
in the Program of All-Inclusive Care for the Elderly (PACE). We
focus on quality, compassion, and innovation in healthcare, and we
are currently looking for a highly skilled Director of Clinical
Intake to oversee our clinical intake processes.
As the Director of Clinical Intake, you will lead and manage all
clinical activities related to the Intake process for prospective
participants. You'll play a pivotal role in evaluating and
determining clinical eligibility for enrollment, ensuring
high-quality care delivery from the very beginning of the
participant's journey.
Job Responsibilities:
- Drive continuous quality improvement initiatives to enhance staff
performance and optimize participant outcomes.
- Collaborate with the Care Delivery Department to authorize
personal care hours, aligning with participant needs and Medicaid
regulations.
- Analyze referral trends with the Market Engagement team to
increase conversion rates of suitable candidates and enhance
enrollment quality.
- Provide critical clinical information prior to enrollment for
seamless transitions and preparation for complex cases in
collaboration with Care Delivery leadership.
- Act as the clinical liaison for the Care Delivery team,
addressing any concerns or issues arising post-enrollment.
- Develop and analyze reports to assess and improve the quality of
the clinical intake process.
- Ensure accurate, compliant documentation by Clinical Intake
Managers and Intake Assessment Managers.
- Maintain expertise in Medicare and Medicaid regulations, offering
updates to staff and stakeholders.
- Engage in staff development by creating and delivering training
materials and educational programs.
- Manage relationships with contracted agencies, overseeing
day-to-day operations and ensuring accuracy in staffing and
invoicing.
- Develop and implement departmental policies, procedures, and
workflows.
Qualifications:
- Education: BS in Nursing or a health-related field preferred.
- Experience:
- Minimum of 5+ years in care/case management, disease management,
or related fields (preferably within managed care, home care, or
community health organizations).
- At least 2+ years of experience in Managed Long-Term Care (MLTC)
or Managed Care with preparation of the Uniform Assessment System
of New York (UAS-NY).
- Proficiency in UAS-NY and eMedNY ePACES systems and experience
with Customer Relationship Management platforms.
- License: Current Registered Nurse license in N.Y. state.
- Positive attitude with strong multitasking skills in a dynamic
environment.
- Proficiency in Microsoft Office, report development, and strong
writing skills.
- Bilingual in Spanish, Chinese, or Russian is strongly
preferred.
*Additional Salary Detail The salary range and/or hourly rate
listed is a good faith determination of potential base compensation
that may be offered to a successful applicant for this position at
the time of this job advertisement and may be modified in the
future. When determining a team member's base salary and/or rate,
several factors may be considered as applicable (e.g., location,
specialty, service line, years of relevant experience, education,
credentials, negotiated contracts,
Keywords: Northwell Health, New York , RN Director of Clinical Assessment & Intake- Full-Time- Queens, NY, Executive , Bayside, New York
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