Manager of Nursing; Field

Salary

Starting at 97,000 / Year

The Manager of Nursing will ensure effective and efficient completion of tasks associated with the clinical assessment process including but not limited to clinical onboarding, UAS‑NY and NYIA assessment review, risk score review, and post‑hospital discharge evaluation. The Manager of Nursing serves as a valuable resource to the Care Management team by documenting critical clinical caseloads, reassessments, and change in condition information in the electronic record system.

The Manager of Nursing partners with the Social Work team by coordinating services and community resources and meeting member socioeconomic needs to support the quality of life.

• Manages a team of clinical assessment nurses and reviewers to ensure the seamless and timely completion and quality of assessments while also focusing on quality, gaps in care, and utilization.
• Assists the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day‑to‑day functions of the RN Assessment Team.
• Is responsible for staff performance evaluations, administering discipline, training and/or coaching.
• Makes written and oral reports/recommendations to the Director of Nursing as necessary/required, concerning the operation of the RN Assessment Team.
• Is responsible for UAS‑NY and NYIAP oversight for Elderwood IPA.
• Participates in the utilization review process and evaluates whether the member’s condition and needs meet criteria for covered services.
• Delivers member‑specific metrics and coaches RNs on gap‑closing opportunities.
• Collaborates with the RN Assessment Team to improve performance in areas of Quality, Risk Adjustment and Operations.
• Compares assessment data to baseline assessment to monitor members’ progress, recognize alterations in function, including life‑threatening situations, and intervene and document appropriately.
• Serves as the clinical point person in response to Care Delivery questions, concerns, or issues.
• Ensures that documentation in the care management record meets all applicable professional standards, using an EMR for each observation, verbal report, or interaction with the member, member’s caregiver/family, PCP or other provider, whether by home visit, telephonic, or written interaction.
• Participates in Disease Management, Utilization Management (as required), and Quality Improvement activities.
• Utilizes the electronic timekeeping system as directed.
• Arrives to work on time, regularly, and works as scheduled.
• Recognizes and follows the dress code of the facility, including wearing a name tag at all times.
• Follows policy and procedure regarding all electronic devices, computers, tablets, etc.
• Supports and abides by Elderwood IPA’s Mission, Vision, and Values.
• Abides by Elderwood IPA’s business code of conduct, compliance, and HIPAA policies.
• Performs other duties as assigned by supervisor, management staff, or Administrator.

• Current New York State Registered Nurse License and a valid NYS Driver’s license in good standing required.
• Master’s in a relevant field preferred, or BSN with extensive experience accepted.
• Minimum of four (4) years of nursing experience in home care, case management, discharge planning or managed care required.
• Minimum of one (1) year of management experience required.
• Minimum of one (1) year of experience working with a frail or elderly population required.
• Minimum of one (1) year of experience with health assessments required.
• Bilingual skills are preferred.

• Understanding of how assessments and coding impact reimbursement and the ability to navigate related challenges.
• Must be able to perform data analysis, report on outcomes, and provide updates routinely relative to clinical activities and risk scores.
• Must be competent in using the UAS‑NY assessment tool. Previous UAS‑NY experience is desired, but not required. Training is available.
• Previous experience with standard patient assessment instruments such as PRI, UAS‑NY is desired, but not…