Senior UAS Case Manager

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Brooklyn NY 11201

This is a traveling position. Candidate has to travel Brooklyn, Queens, The Bronx, Manhattan, and West Chester.

The hiring manager is looking for Bi-lingual candidates!!! English Spanish, English Bengali, English Russian, and or English Mandarin.

Responsible for the completion of

· 1) UAS Initial Assessments and Reassessments based on NY State requirements and guidelines and training provided outside resources.

· 2) Enrollment paperwork materials required to appropriately process consumer’s application for enrollment.

· 3) UAS Tasking Tool based on guidelines and training provider by and/or outside resources. Responsible for correction and revision of UAS, paperwork, and tasking tool documentation based on review and feedback provided through quality and associated review processes.

· Complete UAS Initial and/or Reassessment documentation, enrollment paperwork, and tasking tool in the consumer’s home.

· Attend training and continuing education sessions and lessons focused on the proper completion of UAS documentation, enrollment paperwork, and tasking tool.

· Focus on continuous improvement and quality excellence in the completion of all material associated with the initial enrollment/continued enrollment of consumers as members in the plan.

· Supports initiatives of the Quality Assessment and Performance Improvement Committee.

· All other duties as assigned.

Education Level: Bachelor's Degree

Requirements/Certifications:

· UAS Assessor experience is a MUST!!!

· Minimum 5 years clinical experience with focus in managed care, including behavioral health disease or case management.

· Care Mgmt.\RN - Registered Nurse, State and/or Compact State Licensure

· Understands and is able to apply principals of Care Management and Person Centered Service Planning.

· Is able to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines.

· Is able to understand and apply coverage guidelines and benefit limitations.

· Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses (depression, challenging behaviors, Alzheimer’s disease and other disease-related dementias).

· Understands and adapts appropriately to issues related to communication, cognitive or other barriers.

Riya Khem

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I

DIRECT # - 732 662 4717| (W) # 732-549-2030 - Ext - 311 |(F) 732-549-5549