Assessor Reviewer Lead

Telligen
United States, D.C., Washington
Nov 19, 2024
The Assessor Reviewer Lead will be primarily responsible for training team members to conduct assessments and serve as a part-time and backup assessor. In addition, the incumbent will partner with team members' direct managers to develop and implement quality improvement. The incumbent also develops, oversees, and implements the assessment training program and continued monitoring to ensure consistency with assessment tool application guidelines. This position will begin on December 30th 2024. The position will be a hybrid of on-site in Washington, DC, field assessments and remote. Essential Functions Serves as a trainer to team members to ensure assessments are conducted thoroughly, accurately, and within specified timeframes and guidelines. Documents review and special project results in workflow documentation system, ensuring data is accurate and timely. Assists in compliance, quality assurance, and field assessor monitoring and precepting. Performs field-based assessments for identified populations in the community and facilities in and around Washington, DC. Documents assessment results for the individual member status and negotiates service plans as needed. Provides ongoing education. Communicates with all health care providers to ensure appropriateness of care. Collaborates with the manager and team members to develop, implement, and complete quality improvement and special project or corrective action initiatives based on review results. This may include technical writing and coordinating the development of materials to promote and support the initiatives or performing extensive research on requested topics to develop projects. Maintains positive relationships with internal and external clients to ensure continued participation. Serves as an SME for the team and for external stakeholders; may be consulted for special projects such as RFP responses. Requirements Four-year degree or master's degree in nursing and/or social work. Registered nurse (RN) or Licensed Independent Clinical Social Worker (LICSW) with a current and unrestricted District of Columbia license. Minimum of 3 years of experience. Case management and Medicaid experience preferred. Experience completing level-of-need assessments preferred. Experience leading others and quality management preferred. The estimated salary range in Washington, DC is $94,000 to $112,000 annually. Actual salary amount will be determined based on a number of factors, such as location, education, and experience in alignment with internal equity. COMMITMENT TO SAFETY As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination) Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions. Our business is our people and we're looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us Are you Ready? We're on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity. Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win. Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other. Ingenuity: We're a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we're all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away! Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence. Thank you for your interest in Telligen! Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers (EOE/M/F/Vet/Disability), and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Telligen does not accept 3rd party solicitations from outside staffing firms.