The Clinical Assessment Supervisor, under the Direction of the Clinical Assessments Manager is responsible for ensuring the accuracy and quality of all assessments performed by the Clinical Assessment Department. Supports field RN’s clinically and procedurally. Conducts random audits of clinical assessments resulting in reports to direct supervisor and senior management. Through collaboration with Care Management teams, ensures that member clinical needs are addressed. Assigns and follows-up with field RNs on all MLTC referrals. Collaborates with and refers non-clinical issues of individual referrals to Enrollment Department. Under the direction of Manager, implements training and in-services for field staff. Assists field staff with clinical questions and issues as necessary.
Receipt and review of MLTC referrals from Enrollment Department.