Clinical Assessment and Care Planning Manager

Job Summary

Job Title: Manager, Clinical Assessment

Management Position: Yes

Job Function: MGMT - Management

Member Facing: Yes

Is License Required? MA RN Licensure

Position Summary

The Manager, Clinical Assessment and Care Planning provides leadership for and manages the assessment and care planning functions of the Unit. This position is responsible and accountable for all aspects of the Clinical Assessment operations, including ensuring that the care planning team is fully scheduled and engaged in ensuring the timely comprehensive clinical assessments for all assigned members. The manager is accountable for ensuring that assessments are comprehensive and of high quality and include medical, behavioral health, and social needs, long term services and supports (LTSS) as covered in the MDS-HC and Supplemental tools.

The Manager, Clinical Assessment and Care Planning ensures the following: all assessment nurses are fully scheduled, all reachable CCA members are assessed within specified time frame; reassessment MDSs are completed on time and to specified requirements with consistently high quality; members are assessed, and the member data is accurately entered handed off to CCA in a timely manner.

Supervision Exercised

Yes.  This position supervises the Nurse Assessors

• Acts as back up for Nurse Assessors , including conducting urgent MDS assessments upon request.


• In collaboration with CCA, provide oversight and monitor new staff work processes and abilities to perform role-based competencies.\

Essential Duties & Responsibilities

·       Oversees all aspects of the operational and clinical work of the RN Nurse Assessors, including comprehensive MDS-HC and Supplemental Assessments

·       Oversees quality of clinical work by assessment nurses

·       Delivers training when necessary

·       Tracks assessment completion rates and engages in continuous improvement process to meet productivity and quality goals as needed

·       Individual will be responsible for making high-level clinical, programmatic, and operational management decisions

·       Support teams and track Key Performance Indicators (KPI) related to clinical care for members

Working Conditions: Remote and home/community based

Expectations for All Employees

Demonstrate integrity by working with passion, commitment, and honesty, acting in the best interests of colleagues and members. Approach work in a collaborating and caring manner interacting with insight, sincerity, and compassion. Demonstrate accountability by delivering on commitments, owning mistakes as well as successes, and contributing to an empowering environment where the focus is on solving problems and learning from errors. Recognize and respect diversity in all forms. Strive for excellence in the fulfillment of CCA’s mission through quality, innovation, and continuous learning. Demonstrate initiative, flexibility, and openness to change. Represent CCA and its clinical affiliates with professionalism. Keep current and proficient with necessary skills and knowledge. Self-identify training and development needs relevant to work area and responsibilities. Adhere to all applicable compliance requirements including but not limited to:

• Complete required compliance training in a timely manner


• Review Code of Conduct at least annually and promote and enforce CCA’s Code of Conduct


• Promote and enforce CCA’s compliance program


• Adhere to CCA’s Policy & Procedures


• Promptly, in good faith, report any instances of suspected fraud, waste and abuse; suspected privacy and/or security incidents; or any compliance concerns identified


• Ensure confidentiality of member and company proprietary information is maintained

Education

Bachelor's Degree in Nursing with current nurse licensure in good standing in Massachusetts

Experience

• 5+ years demonstrated clinical competence in assessing patients and care plan development, including experience with MDS-HC


• 3+ years supervisory experience

Knowledge, Skills & Abilities

• Proficient with Microsoft Office suite; experience documenting in electronic health records and ability to learn and use new systems


• Proficient with Excel


• Excellent communication skills


• Exceptional knowledge of the array of medical, behavioral health, social and long-term services and supports offerings available across Massachusetts, and the extent to which each can be leveraged to support individuals with complex needs.


• Proven skills, knowledge base and judgment necessary for independent clinical decision-making


• Excellent organizational, time-management and problem-solving skills


• Ability to function effectively as part of a multi-disciplinary team


• Effective oral and written skills


• Strong interpersonal skills


• Commitment to social justice in medicine and an understanding of healthcare reform


• Effective teaching and mentorship skills


• Able to support teams with utilization of telehealth technologies (video, chat, etc.), when appropriate, as an approved modality for a variety of clinical care and care management services.

Language(s)

English

Other 

Physical Requirements: Ability to function in a busy clinical environment and to make home visits in a community based setting. Visual and hearing ability sufficient to comprehend written/verbal communication and perform physical exams and assessments of patients