Assessment Coordinator

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

The Assessment Coordinator is responsible for the ordering, tracking and reconciliation of the UAS-NY initial assessment, reassessments and change in condition assessments. The Assessment Coordinator is responsible to refer and track assessment for completion by vendors and the Enrollment/Assessment Nurse based on the State's requirements on completion timeframes. The Assessment Coordinator conducts tracking, trending and analysis of assessments completed by vendors and vendor activities. The Assessment Coordinator will also conduct reviews to determine quality of assessment performance. The Assessment coordinator will perform and support this function for MLTC & FIDA product lines.

• Enters/documents UAS referral data in the appropriate systems within 24 hours of request or notification to ensure appropriate referral and vendor payment.
• Maintains 95% or better of accurate data entry rate in the appropriate systems.
• Conducts vendor referral reports daily.
• Analyzes reports daily to monitor, track and trend all outstanding assessments.
• Conducts daily reconciliation with vendors to receive updates on all outstanding assessments
• Gives feedback to vendors and report's findings to management team.
• Identifies issues having an impact on unit operations and communicates them to the management team
• Prepares applicable assessments for review by the management team for CM case assignment
• Reviews all completed assessments for legibility, completeness, and scoring.
• Files assessments in the appropriate charts for review by the management and care teams.
• Monitors vendor/referral source performance to ensue assessments are completed with the appropriate timeframes.
• Identifies and recommends workflow related problems to the management team.
• Monitors and reports vendor performance as directed by the management team and makes recommendations for process improvement when indicated.

• High School graduation or evidence of having satisfactorily passed a High School Equivalency Program; and
• At least 2 years of managed care experience
• Knowledge of medical management functions, experienced working in Medical Management preferred.
• Prior training experience preferred

Professional Competencies:

• Integrity and Trust
• Customer Service Focus
• Functional/Technical skills
• Written/Oral Communications