Active, unrestricted RN license in New York State.
5+ years in care/case management or related fields.
3-5 years in managed care programs like MLTC or PACE.
Proficient in UAS-NY and clinical documentation systems.
Strong independent work and communication skills.
Experience with frail or older adults, or relevant training upon hire.
Comfortable with Microsoft Office for documentation.
Responsibilities
Review and validate UAS-NY assessments for accuracy and completeness.
Complete daily UAS reviews and provide actionable feedback.
Coach team members on documentation standards and workflows.
Collaborate with interdisciplinary teams to resolve assessment questions.
Document assessments and follow-up actions within required timelines.
Monitor performance measures and recommend quality improvements.
Ensure compliance with NYS Department of Health and CMS standards.
Benefits
Monday-Friday daytime schedule.
Hybrid work schedule: 3 remote days and 2 onsite.
28 Paid Time Off (PTO) days annually.
Tuition reimbursement up to $5,250 annually.
403(b) retirement plan with employer contributions.
Comprehensive medical, dental, and vision coverage.
Health Savings Account (HSA) and Health Reimbursement Account (HRA) options.
Gym reimbursement up to $400 annually.
Employee Assistance Program (EAP).
Professional development opportunities through Relias learning platform.
Full Job Description
Clinical Assessment Manager - Quality Reviewer
Salary: $110,000 - $120,000
Monday - Friday | 8:30 AM - 5:30 PM
Hybrid work schedule: On-site 2 days per week & 3 days working from home
We are seeking an experienced New York State Registered Nurse to serve as a Clinical Assessment Manager - Quality Reviewer. In this quality-focused role, you will review UAS-NY assessments, strengthen documentation accuracy, coach clinical colleagues, and partner with Intake & Enrollment and Care Delivery teams to support timely, person-centered decisions. This is an opportunity to influence quality and consistency across the participant journey-not simply complete assessments.
WHAT YOU'LL DO
Review and validate UAS-NY assessments and supporting documentation in the Health Commerce System (HCS) and electronic clinical records for accuracy, completeness, and timeliness.
Complete approximately 8-15 Care Delivery UAS reviews or 5-7 Intake reviews daily, as assigned, and provide actionable feedback to clinical staff.
Coach team members on assessment quality, documentation standards, workflows, and regulatory requirements; support onboarding of new clinical colleagues.
Partner with Intake & Enrollment, Care Delivery, site leadership, and the interdisciplinary team (IDT) to resolve assessment questions and support smooth enrollment and care transitions.
Review clinical information, medication-related documentation, post-discharge needs, proposed service plans, and ADL/IADL support needs; use UAS-NY, Lenavi, and the Tasking Tool as applicable.
Document assessments, reviews, service plans, and follow-up actions accurately and within required timelines, including the 48-hour documentation expectation.
Monitor performance measures, identify trends, escalate complex concerns, and recommend improvements to quality, turnaround times, workflows, and participant experience.
Maintain compliance with applicable NYS Department of Health, CMS, PACE, and organizational standards; perform duties within RN scope of practice.
WHAT WE'RE LOOKING FOR
Required Qualifications:
Active, unrestricted Registered Nurse (RN) license in New York State.
At least 5 years of experience in care/case management, disease management, population health, utilization review, quality assurance, or discharge planning.
3-5 years of experience in MLTC, LTHHCP, MAP, PACE, or another managed care program.
Proficiency using and analyzing UAS-NY and Lenavi, along with clinical documentation systems.
Ability to work independently, manage competing deadlines, communicate clearly, and provide constructive clinical guidance.
At least 1 year working with frail or older adults, or completion of appropriate PACE-provided training upon hire if otherwise qualified.
Comfort using Microsoft Office and preparing clear written documentation and reports.
Preferred Qualifications:
Bachelor of Science in Nursing (BSN) or a related health discipline.
Experience with clinical quality improvement, staff education, and CRM platforms.
Bilingual communication skills.
WHY JOIN MATTER OF CARE?
Monday-Friday daytime schedule
Hybrid work schedule: 3 remote workday per week / 2 days onsite
28 Paid Time Off (PTO) days annually
9 Paid Holidays
Tuition reimbursement up to $5,250 annually
403(b) retirement plan with employer contributions
Medical, dental, and vision coverage
Health Savings Account (HSA) and Health Reimbursement Account (HRA) options
Flexible Spending Accounts (FSA)
Transit and commuter benefits
Gym reimbursement up to $400 annually
Employee Assistance Program (EAP)
Relias learning platform and professional development opportunities
Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.
Salary Range (Min-Max): $110,000.00 - $120,000.00
Every application is reviewed by our recruitment team. We do not use AI to make hiring decisions or automatically reject applicants. All employment decisions are based on job-related qualifications and applicable employment laws.
About CenterLight Health System Inc
CenterLight Health System Inc is a non-profit healthcare organization that provides a wide range of services to seniors and individuals with chronic illnesses and disabilities in the New York City area. The organization offers home care, adult day health care, rehabilitation, and other services to help individuals live independently and improve their quality of life. CenterLight Health System Inc is committed to providing compassionate and high-quality care to its patients and their families.
